MEDICARE: DR. STANLEY FROHLINGER D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8874	FL

General Provider Information

NPI Number	:	1093760076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY FROHLINGER D.M.D.

Provider Business Mailing Address
First Line	:	3312 SW 57TH PL
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-6369
Country	:	US
Telephone Number	:	305-496-2793
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 ARTHUR GODFREY RD STE 400
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3347
Country	:	US
Telephone Number	:	305-532-4419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	11/08/2019

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