Provider Demographics
NPI:1427499581
Name:FRANK, GREGORY M (DMD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:M
Last Name:FRANK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3511 FOREST EDGE DR
Mailing Address - Street 2:APT. 1C
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1539
Mailing Address - Country:US
Mailing Address - Phone:202-570-0603
Mailing Address - Fax:
Practice Address - Street 1:12900 MIDDLEBROOK RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2672
Practice Address - Country:US
Practice Address - Phone:240-777-3291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD55411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice