Provider Demographics
NPI:1538207725
Name:MITCHELL, FRANK BRADLEY (DDS PA)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:BRADLEY
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2702 MEDICAL OFFICE PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9460
Mailing Address - Country:US
Mailing Address - Phone:919-731-2331
Mailing Address - Fax:833-815-2673
Practice Address - Street 1:2702 MEDICAL OFFICE PL
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9460
Practice Address - Country:US
Practice Address - Phone:919-731-2331
Practice Address - Fax:833-815-2673
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC108901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice