Provider Demographics
NPI:1952562217
Name:KERBL, FRANK MICHAEL (DMD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:MICHAEL
Last Name:KERBL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 EASTON CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-6344
Mailing Address - Country:US
Mailing Address - Phone:251-414-3031
Mailing Address - Fax:251-414-3039
Practice Address - Street 1:154 EASTON CIR
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-6344
Practice Address - Country:US
Practice Address - Phone:251-414-3031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL56671223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program