Provider Demographics
NPI:1538189923
Name:FRATKIN, HOWARD ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ANDREW
Last Name:FRATKIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 N PARHAM RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-3171
Mailing Address - Country:US
Mailing Address - Phone:804-346-4066
Mailing Address - Fax:804-346-5100
Practice Address - Street 1:2301 N PARHAM RD
Practice Address - Street 2:SUITE 2
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-3171
Practice Address - Country:US
Practice Address - Phone:804-346-4066
Practice Address - Fax:804-346-5100
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010074341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice