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Organization

SHAMAYNE M. FRANK, DDS, PC

Active
Other names
Shamayne M. Frank, DDS, PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAMAYNE MARIA FRANK DDS (OWNER)
(712) 252-9894
Entity
Organization

Contact information

Practice address
321 W. 25TH ST., SIOUX CITY, IA 51104-4029
(712) 252-9894
(712) 252-9065
Mailing address
321 W. 25TH ST., SIOUX CITY, IA 51104-4029
(712) 252-9894
(712) 252-9065

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08224
IA
1223G0001X
General Practice Dentistry
6431
NE
1223G0001X
General Practice Dentistry
M999
SD
261QD0000X
Dental Clinic/Center
08224
IA
261QD0000X
Dental Clinic/Center
6431
NE
261QD0000X
Dental Clinic/Center
M999
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0566224
IA
05
1002-5004500
NE
05
10025533200
NE
05
1962417733
IA
05
7809990
SD
Enumeration date
05/31/2008
Last updated
06/21/2018
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