Fronczak Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRONCZAK DENTISTRY PLLC

Practice address

8080 Moorsbridge Rd
Portage, MI 49024-4421

Phone

(313) 515-0465

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Joseph Fronczak, DDSNPI 1225696248

Title

Dentist/ Owner

Phone

(313) 515-0465

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher J Fronczak, D.D.S

  • General Practice Dentistry
  • Portage, MI
  • NPI 1225696248
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1457929473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48522 VALLEY CT",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799300",
            "telephone_number": "313-515-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244421",
            "telephone_number": "313-515-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONCZAK DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "FRONCZAK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "313-515-0465",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Frey, M.A.
• Jessica Erin Frieder, PH.D.
• Amy Jo Fritz, NP
• Erik Reynold Fritzen, LLMSW
• Corrine N Fritzsche
• Christopher J Fronczak, D.D.S
• Jeffery Fry
• Yanyao Fu, D.M.D.
• Jonathan Fujii
• Brian Jay Fuller, PH.D.

• General Practice Dentistry in Portage, MI
• Providers in Portage, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.