# MARTIN J FRASCHETTI, D.D.S., FAMILY DENTISTRY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114046976
- **Authorized official:** DR. MARTIN J FRASCHETTI D.D.S., F.I.C.C.M.O. (DENTIST)
- **Authorized official phone:** (586) 773-1212

## Contact information

- **Practice address:** 27731 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-1309
- **Practice address phone:** (586) 773-1212
- **Practice address fax:** (586) 778-5756
- **Mailing address:** 27731 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-1309
- **Mailing address phone:** (586) 773-1212
- **Mailing address fax:** (586) 778-5756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 013741 | MI | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020