MEDICARE: DR. FRANK MALCOLM DOYLE 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	DE011042	MO

General Provider Information

NPI Number	:	1881697563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK MALCOLM DOYLE DDS

Provider Business Mailing Address
First Line	:	7508 PINTAIL DR
Second Line	:
City	:	MIDLAND
State	:	GA
Zip	:	31820-3806
Country	:	US
Telephone Number	:	706-563-5431
Fax Number	:

Provider Business Practice Location Address
First Line	:	7508 PINTAIL DR
Second Line	:
City	:	MIDLAND
State	:	GA
Zip	:	31820-3806
Country	:	US
Telephone Number	:	706-563-5431
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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