Healthcare Provider Details

I. General information

NPI: 1528472065
Provider Name (Legal Business Name): JON FRANKEL DENTISTRY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2014
Last Update Date: 10/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5012 TALMADGE RD SUITE 100
TOLEDO OH
43623-2167
US

IV. Provider business mailing address

5012 TALMADGE RD SUITE 100
TOLEDO OH
43623-2167
US

V. Phone/Fax

Practice location:
  • Phone: 419-474-9611
  • Fax:
Mailing address:
  • Phone: 419-474-9611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number19673
License Number StateOH

VIII. Authorized Official

Name: DR. JONATHAN H FRANKEL
Title or Position: OWNER
Credential: D.D.S.
Phone: 417-474-9611