MEDICARE: DR. JOHN FROH 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	122300000X	Dentist	21709	CA

General Provider Information

NPI Number	:	1497776892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN FROH DDS

Provider Business Mailing Address
First Line	:	112 COOL SPRINGS CT
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-7106
Country	:	US
Telephone Number	:	916-396-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	1481 LIVE OAK BLVD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-2920
Country	:	US
Telephone Number	:	530-671-3969
Fax Number	:	530-671-4921

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. JOHN FROH DDS” Practice Location

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