Provider Demographics
NPI:1992992234
Name:VITUCCI, FRANK M (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:M
Last Name:VITUCCI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:116 WEST EASTMAN ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004
Mailing Address - Country:US
Mailing Address - Phone:847-590-5151
Mailing Address - Fax:847-590-0081
Practice Address - Street 1:116 WEST EASTMAN ST
Practice Address - Street 2:SUITE 305
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-590-5151
Practice Address - Fax:847-590-0081
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL019021172122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist