MEDICARE: DR. MARK T FRANK D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	06625	CO

General Provider Information

NPI Number	:	1033186952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK T FRANK D.D.S.

Provider Business Mailing Address
First Line	:	3955 E EXPOSITION AVE
Second Line	:	SUITE 412
City	:	DENVER
State	:	CO
Zip	:	80209-5033
Country	:	US
Telephone Number	:	303-722-2686
Fax Number	:

Provider Business Practice Location Address
First Line	:	3955 E EXPOSITION AVE
Second Line	:	SUITE 412
City	:	DENVER
State	:	CO
Zip	:	80209-5033
Country	:	US
Telephone Number	:	303-722-2686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	08/23/2016

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