Provider Demographics
NPI:1841310810
Name:FRANK T GROGAN III DDS, PC
Entity type:Organization
Organization Name:FRANK T GROGAN III DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:T
Authorized Official - Last Name:GROGAN
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:434-797-3598
Mailing Address - Street 1:288 PINEY FOREST RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-4124
Mailing Address - Country:US
Mailing Address - Phone:434-797-3598
Mailing Address - Fax:
Practice Address - Street 1:288 PINEY FOREST RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-4124
Practice Address - Country:US
Practice Address - Phone:434-797-3598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005363261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental