Active NPI
Frank R. Faunce, D.D.S.
- Pediatric Dentistry
- Peachtree City, GA
National Provider Identifier
1699807289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- GA 9870
- Practice address
- 302 Stevens Entry
Peachtree City, GA 30269-1325 - Phone
- (770) 631-4888
- Fax
- (770) 631-8048
- NPI assigned
- Mar 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | GA 9870 | GA | Primary |
Addresses
Primary practice location
302 Stevens Entry
Peachtree City, GA 30269-1325
Mailing address
302 Stevens Entry
Peachtree City, GA 30269-1325
Phone (770) 631-4888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00477639A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA 9870 | GA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1699807289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 STEVENS ENTRY",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691325",
"telephone_number": "770-631-4888",
"fax_number": "770-631-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 STEVENS ENTRY",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691325",
"telephone_number": "770-631-4888",
"fax_number": "770-631-8048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUNCE",
"first_name": "FRANK",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "GA 9870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00477639A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.