Provider Demographics
NPI:1982697660
Name:FRANK, ALICIA DEANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:DEANN
Last Name:FRANK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:DEANN
Other - Last Name:GUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:260 S PEACHTREE PKWY
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1700
Mailing Address - Country:US
Mailing Address - Phone:770-486-9400
Mailing Address - Fax:
Practice Address - Street 1:260 S PEACHTREE PKWY
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1700
Practice Address - Country:US
Practice Address - Phone:770-486-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12134122300000X
TX24199122300000X
GADN015359122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist