MEDICARE: DR. ANTHONY BASIL FRILINGOS DDS

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	1223G0001X	General Practice Dentistry	DN4300	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AFRILINGOS@CFL.RR.CO	OTHER	FL	E-MAIL ADDRESS
2	FL DN4300	OTHER	FL	PRACTICE LICENSE #

General Provider Information

NPI Number	:	1437247921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY BASIL FRILINGOS DDS

Provider Business Mailing Address
First Line	:	4755 S CONWAY RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-1245
Country	:	US
Telephone Number	:	407-855-1128
Fax Number	:	407-855-1130

Provider Business Practice Location Address
First Line	:	4755 S CONWAY RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32812-1245
Country	:	US
Telephone Number	:	407-855-1128
Fax Number	:	407-855-1130

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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