Healthcare Provider Details

I. General information

NPI: 1669441473
Provider Name (Legal Business Name): BENJAMIN M. FRANK, D.D.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 NEWTOWN RD # A STE 4
DANBURY CT
06810-4194
US

IV. Provider business mailing address

105 NEWTOWN RD # A STE 4
DANBURY CT
06810-4194
US

V. Phone/Fax

Practice location:
  • Phone: 203-744-7377
  • Fax: 203-744-7403
Mailing address:
  • Phone: 203-744-7377
  • Fax: 203-744-7403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number5238
License Number StateCT

VIII. Authorized Official

Name: BENJAMIN MICHAEL FRANK
Title or Position: PRESIDENT
Credential: DDS
Phone: 203-744-7377