=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437100708
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANK JOHN GUERRIER DDS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6960 MARKET ST
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-5310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-758-1322
-----------------------------------------------------
Fax | 330-258-6915
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6960 MARKET ST
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-5310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-758-1322
-----------------------------------------------------
Fax | 330-258-6915
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 30013670
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------