Roman Marcus Fratesi, MS

Primary specialty

DentistTaxonomy code 122300000X

License

DN29358 Issued in FL

Practice address

151 W Airport Blvd
Pensacola, FL 32505-2245

Phone

(850) 477-5252

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Dental Associates, P.a.

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1700987732
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1619666385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423A MENARD ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W AIRPORT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052245",
            "telephone_number": "850-477-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Park ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63104",
            "country_code": "US",
            "telephone_number": "662-402-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRATESI",
        "first_name": "ROMAN",
        "middle_name": "MARCUS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Franklin, NURSE PRACTITIONER
• Michael Jay Franks Jr., PSYD
• Brett Allen Frans Jr., APRN
• Douglas Holmes Fraser, M.D.
• Kimberly Ann Frasier, MSN, NNP-BC, C-NPT
• Richard Edward Frazee, ATC
• Faith Ashley Frazier, PA-C
• Dawn Renee Frederic, ARNP
• Haleigh Fredericks, MD
• Charlotte Rose Frederickson, RPH

• Dentist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.