Provider Demographics
NPI:1588754949
Name:ALTIER, FRANK JR (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:ALTIER
Suffix:JR
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 1:5329 S TATUM LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-0356
Mailing Address - Country:US
Mailing Address - Phone:724-217-2707
Mailing Address - Fax:
Practice Address - Street 1:5329 S TATUM LN
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-0356
Practice Address - Country:US
Practice Address - Phone:724-217-2707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030159L1223G0001X
AZD07553122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice