Individual
DR. FRANK ALBERT DEQUATTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
24 SALT POND RD, SUITE C1, WAKEFIELD, RI 02879-4314
(401) 783-9890
Mailing address
24 SALT POND RD, SUITE C1, WAKEFIELD, RI 02879-4314
(401) 783-9890
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2711
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175316
UNITED CONCORDIA
PA
01
—
8770-2
BLUE CROSS BLUE SHIELD RI
RI
05
—
FD35850
—
RI
Enumeration date
07/20/2005
Last updated
07/08/2007
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