Provider Demographics
NPI:1861563645
Name:TINNEMEYER, FRANK CANTONI (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CANTONI
Last Name:TINNEMEYER
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 1:1077 GREENTREE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3120
Mailing Address - Country:US
Mailing Address - Phone:412-563-0111
Mailing Address - Fax:412-563-1990
Practice Address - Street 1:1077 GREENTREE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3120
Practice Address - Country:US
Practice Address - Phone:412-563-0111
Practice Address - Fax:412-563-1990
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0350501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice