Frank Anthony Mindicino, D.D.S.
Individual provider Active NPI General Practice Dentistry · Trooper, PA
NPI 1407975477 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407975477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS022521L (PA)
- Practice address
- 42 S Trooper Rd
Trooper, PA 19403-3060 - Phone
- (610) 630-0530
- Fax
- (610) 635-0805
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS022521L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS022521L | PA | Yes |
Addresses
Primary practice location
42 S Trooper Rd
Trooper, PA 19403-3060
Mailing address
42 S Trooper Rd
Trooper, PA 19403-3060
Phone (610) 630-0530
Other providers in Trooper, PA
- Flourish and Fly LLC
- Bin Kim
- Chase Kneeland
- Bengt Gosta Larsson
- Patricia Emperatriz Maila
- New Leaf Healthcare Inc
- Sangeeta Sharma
- Rebecca Frederick Sheaffer
- Suburban Eye Care Optometric
- Therese C. Deschenes, OD; PC
All providers in Trooper, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.