MEDICARE: DR. FRANK MICHAEL CIANCI DDS

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	122300000X	Dentist	DS021545L	PA

General Provider Information

NPI Number	:	1508844655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK MICHAEL CIANCI DDS

Provider Business Mailing Address
First Line	:	1278 JUSTIN RD
Second Line	:	SUITE 108
City	:	LEWISVILLE
State	:	TX
Zip	:	75077-2200
Country	:	US
Telephone Number	:	972-317-1581
Fax Number	:	972-317-4836

Provider Business Practice Location Address
First Line	:	11524 PARKCREST DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-5705
Country	:	US
Telephone Number	:	570-885-4563
Fax Number	:

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

Provider Enumeration Date	:	01/08/2006
Last Update Date	:	11/08/2013

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