MEDICARE: LAWRENCE SCOTT FRANKEL DMD MS INC.

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	1223P0300X	Periodontics	30015427	OH

General Provider Information

NPI Number	:	1922061514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE SCOTT FRANKEL DMD MS INC.

Provider Business Mailing Address
First Line	:	29001 CEDAR RD
Second Line	:	#400
City	:	LYNDHURST
State	:	OH
Zip	:	44124-4062
Country	:	US
Telephone Number	:	440-684-4868
Fax Number	:

Provider Business Practice Location Address
First Line	:	29001 CEDAR RD
Second Line	:	#400
City	:	LYNDHURST
State	:	OH
Zip	:	44124-4062
Country	:	US
Telephone Number	:	440-684-4868
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAWRENCE SCOTT FRANKEL
Credential	:	DMD
Telephone Number	:	440-684-4868

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	08/22/2020

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