Frodel, Greg W
Frodel, Greg W is an individual health care provider with primary practice located at 5204 N Road 68 Suite B, Pasco WA 99301-9275. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Frodel, Greg W can be contacted via phone (509) 547-9955.Contact Information
Primary practice address
5204 N Road 68 Suite B
Pasco WA 99301-9275
Phone: (509) 547-9955
Fax: (509) 544-2827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5567 | Washington |
Profile Details
| NPI number | 1972633899 |
|---|---|
| LBN Legal business name | Frodel, Greg W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972633899 | NPPES |
| Washington | Other | 5567 | STATE LICENSE NUMBER |
| Washington | Other | 5778 | STATE LICENSE NUMBER |
| Washington | MEDICAID | 5051891 | STATE LICENSE NUMBER |
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