Healthcare Provider Details

I. General information

NPI: 1922521400
Provider Name (Legal Business Name): FRANK CAFFARATTI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 BARING BLVD
SPARKS NV
89434-1500
US

IV. Provider business mailing address

730 BARING BLVD
SPARKS NV
89434-1500
US

V. Phone/Fax

Practice location:
  • Phone: 775-358-1555
  • Fax: 775-358-3817
Mailing address:
  • Phone: 775-358-1555
  • Fax: 775-358-3817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2049
License Number StateNV

VIII. Authorized Official

Name: FRANK D CAFFARATTI
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 775-358-1555