Frodel, Greg W

Frodel, Greg W is an individual health care provider with primary practice located at 5204 N Road 68 Suite B, Pasco WA 99301-9275. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Frodel, Greg W can be contacted via phone (509) 547-9955.

Contact Information

Primary practice address
5204 N Road 68 Suite B Pasco WA 99301-9275
Phone: (509) 547-9955
Fax: (509) 544-2827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5567 Washington

Profile Details

NPI number 1972633899
LBN Legal business name Frodel, Greg W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972633899 NPPES
Washington Other 5567 STATE LICENSE NUMBER
Washington Other 5778 STATE LICENSE NUMBER
Washington MEDICAID 5051891 STATE LICENSE NUMBER

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