Healthcare Provider Details

I. General information

NPI: 1114719374
Provider Name (Legal Business Name): FRANK WILLIAM CUNDIFF DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USS GERALD R FORD (CVN 78) UNIT 100328 DIV DEN
FPO AE
09523-2807
US

IV. Provider business mailing address

1562 MITSCHER AVE STE 250
NORFOLK VA
23551-2487
US

V. Phone/Fax

Practice location:
  • Phone: 757-506-9613
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14225785-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: