Healthcare Provider Details

I. General information

NPI: 1407787286
Provider Name (Legal Business Name): GENERAL DENTAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2374 GRAND CONCOURSE
BRONX NY
10458-6950
US

IV. Provider business mailing address

2374 GRAND CONCOURSE
BRONX NY
10458-6950
US

V. Phone/Fax

Practice location:
  • Phone: 718-365-6402
  • Fax: 718-365-6066
Mailing address:
  • Phone: 718-365-6402
  • Fax: 718-365-6066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MARK FRAENKEL
Title or Position: DENTIST
Credential: DMD, PC
Phone: 718-365-6402