Provider Demographics
NPI:1548434590
Name:JOSEPH P. FRENO, JR. DMD PA
Entity type:Organization
Organization Name:JOSEPH P. FRENO, JR. DMD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:FRENO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-349-9800
Mailing Address - Street 1:12042 BLANCO RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5440
Mailing Address - Country:US
Mailing Address - Phone:210-349-9800
Mailing Address - Fax:210-349-9811
Practice Address - Street 1:12042 BLANCO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5440
Practice Address - Country:US
Practice Address - Phone:210-349-9800
Practice Address - Fax:210-349-9811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX184551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty