Provider Demographics
NPI:1861611204
Name:FRANKOWITZ, STACI BOCKSTEIN (DMD)
Entity type:Individual
Prefix:DR
First Name:STACI
Middle Name:BOCKSTEIN
Last Name:FRANKOWITZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:STACI
Other - Middle Name:MICHELE
Other - Last Name:FRANKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:10 EVERGREEN PL
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2806
Mailing Address - Country:US
Mailing Address - Phone:917-224-4021
Mailing Address - Fax:
Practice Address - Street 1:101 CEDAR LN STE 203
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4417
Practice Address - Country:US
Practice Address - Phone:201-836-7788
Practice Address - Fax:201-836-7787
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045581-011223X0400X
NJ22DI020289001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics