Healthcare Provider Details

I. General information

NPI: 1801962402
Provider Name (Legal Business Name): ALAN DAVID FRANKEL DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 W END AVE APT 1B
NEW YORK NY
10023-2605
US

IV. Provider business mailing address

277 W END AVE APT 1B
NEW YORK NY
10023-2605
US

V. Phone/Fax

Practice location:
  • Phone: 212-877-7177
  • Fax: 212-873-8633
Mailing address:
  • Phone: 212-877-7177
  • Fax: 212-873-8633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number029248
License Number StateNY

VIII. Authorized Official

Name: DR. ALAN DAVID FRANKEL
Title or Position: CEO
Credential: DMD
Phone: 212-877-7177