MEDICARE: DR. FRANKEL DDS PA

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	DN001230	FL

General Provider Information

NPI Number	:	1891074134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. FRANKEL DDS PA

Provider Business Mailing Address
First Line	:	2100 E HALLANDALE BEACH BLVD STE 305
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-3771
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 E HALLANDALE BEACH BLVD STE 305
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-3771
Country	:	US
Telephone Number	:	954-454-4949
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARC FRANKEL
Credential	:	DDS
Telephone Number	:	954-454-4949

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/04/2011

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