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NPI Code Detail

MEDICARE: DR. HOWARD ANDREW FRATKIN DDS

MEDICARE: DR. HOWARD ANDREW FRATKIN 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
11223G0001XGeneral Practice Dentistry0401007434VA

General Provider Information

NPI Number : 1538189923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD ANDREW FRATKIN DDS
Provider Business Mailing Address
First Line : 2301 N PARHAM RD
Second Line : SUITE 2
City : RICHMOND
State : VA
Zip : 23229-3171
Country : US
Telephone Number : 804-346-4066
Fax Number : 804-346-5100
Provider Business Practice Location Address
First Line : 2301 N PARHAM RD
Second Line : SUITE 2
City : RICHMOND
State : VA
Zip : 23229-3171
Country : US
Telephone Number : 804-346-4066
Fax Number : 804-346-5100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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