Provider Demographics
NPI:1902935992
Name:KWIATKOWSKI, FRANK W (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:W
Last Name:KWIATKOWSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 CLINTON AVE S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5620
Mailing Address - Country:US
Mailing Address - Phone:585-461-4350
Mailing Address - Fax:585-461-9365
Practice Address - Street 1:1950 CLINTON AVE S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5620
Practice Address - Country:US
Practice Address - Phone:585-461-4350
Practice Address - Fax:585-461-9365
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0298891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5533FKOtherBCBS PROVIDER ID