Wilfred Fredrick Fromm, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30018631 Issued in OH

Practice address

29010 Chardon Road
Willoughby Hills, OH 44092

Phone

(440) 944-2200

Fax

(440) 944-2202

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Emerald Dental Care, Matthew Kramer, DMD, Inc.

  dba Emerald Dental Care

  • Dental Clinic/Center
  • Willoughby Hills, OH
  • NPI 1124815105
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1659447183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29010 CHARDON ROAD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44092",
            "telephone_number": "440-944-2200",
            "fax_number": "440-944-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29010 CHARDON ROAD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "44092",
            "telephone_number": "440-944-2200",
            "fax_number": "440-944-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMM",
        "first_name": "WILFRED",
        "middle_name": "FREDRICK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18631",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Formidable Management & Consulting
• Marriam Simone Fox
• Melissa Frate, QMHS
• Michael James Freas, LISW
• Freedomshepherd, LLC
• Lauren Fueger
• Deronte Fullerton
• Alexandra Fushi, DMD
• Chelsea Marie Garcia, NP
• George Andrew Gardner II

• General Practice Dentistry in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.