Provider Demographics
NPI:1528156270
Name:DELGADO, FRANK (DMD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:DELGADO
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 1:4031 W KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2751
Mailing Address - Country:US
Mailing Address - Phone:813-289-9809
Mailing Address - Fax:813-289-3383
Practice Address - Street 1:4031 W KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2751
Practice Address - Country:US
Practice Address - Phone:813-289-9809
Practice Address - Fax:813-289-3383
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL78961223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics