Provider Demographics
NPI:1861129512
Name:FRANMARK DENTAL STUDIO PC
Entity type:Organization
Organization Name:FRANMARK DENTAL STUDIO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GJOKAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-871-1133
Mailing Address - Street 1:50710 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-1363
Mailing Address - Country:US
Mailing Address - Phone:586-997-5500
Mailing Address - Fax:
Practice Address - Street 1:50710 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48317-1363
Practice Address - Country:US
Practice Address - Phone:586-997-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental