Provider Demographics
NPI:1992961262
Name:SCONZA, FRANK A (DDS)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:A
Last Name:SCONZA
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 1:345 GEORGETOWN SQ
Mailing Address - Street 2:
Mailing Address - City:WOOD DALE
Mailing Address - State:IL
Mailing Address - Zip Code:60191-1812
Mailing Address - Country:US
Mailing Address - Phone:630-766-1777
Mailing Address - Fax:
Practice Address - Street 1:345 GEORGETOWN SQ
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-1812
Practice Address - Country:US
Practice Address - Phone:630-766-1777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-012786122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist