Provider Demographics
NPI:1255426979
Name:TERENCE A. FRISKEL DDS,PC
Entity type:Organization
Organization Name:TERENCE A. FRISKEL DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRISKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:636-586-2410
Mailing Address - Street 1:110 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:MO
Mailing Address - Zip Code:63020-1709
Mailing Address - Country:US
Mailing Address - Phone:636-586-2410
Mailing Address - Fax:
Practice Address - Street 1:110 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:MO
Practice Address - Zip Code:63020-1709
Practice Address - Country:US
Practice Address - Phone:636-586-2410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty