Frank S. Fratto Jr., D.D.S.

Individual provider Active NPI General Practice Dentistry · Cambria, CA

NPI 1114974409 · NPPES record last updated Dec 4, 2009

Key facts

NPI
1114974409
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
31611 (CA)
Practice address
2150 Main St
Cambria, CA 93428-3022
Phone
(805) 927-4811
Fax
(805) 927-0818
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150708001812 CA Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
6305158122

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
31611CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31611 CA Yes

Addresses

Primary practice location

2150 Main St
Cambria, CA 93428-3022

Mailing address

2150 Main St
Cambria, CA 93428-3022
Phone (805) 927-4811

Other providers in Cambria, CA

All providers in Cambria, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.