Provider Demographics
NPI:1992817779
Name:ORTOLANO, FRANK (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:ORTOLANO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 PALMER AVE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1087
Mailing Address - Country:US
Mailing Address - Phone:732-671-1052
Mailing Address - Fax:732-671-1045
Practice Address - Street 1:999 PALMER AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1087
Practice Address - Country:US
Practice Address - Phone:732-671-1052
Practice Address - Fax:732-671-1045
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI013697122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist