=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629102512
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | G. JOHN FRAONE,D.M.D.,M.S., PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/15/2007
-----------------------------------------------------
Last Update Date | 10/16/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 92 FAUNCE CORNER RD SUITE 150
-----------------------------------------------------
City | NORTH DARTMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02747-1262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-997-2400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 92 FAUNCE CORNER RD SUITE 150
-----------------------------------------------------
City | NORTH DARTMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02747-1262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-997-2400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. GIANFRANCO FRAONE
-----------------------------------------------------
Credential | D.M.D
-----------------------------------------------------
Telephone | 508-997-2400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223P0221X
-----------------------------------------------------
Taxonomy Name | Pediatric Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------