Individual
DR. FRANK C GRAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
1708 E JOYCE BLVD, SUITE 2, FAYETTEVILLE, AR 72703-5252
(479) 582-3002
(479) 582-2840
Mailing address
PO BOX 4185, FAYETTEVILLE, AR 72702-4185
(479) 717-1171
(479) 725-2395
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1931
AR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
1931
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194717
UNITED CONCORDIA
—
01
—
234282400
DEPT OF LABOR WORKERS COM
AR
01
—
58229
BCBS
AR
Enumeration date
01/08/2007
Last updated
02/04/2013
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