Individual provider · Type 1 NPI

Brandon Dale Frodge, DMD

Periodontics · Norcross, GA

NPI number 1174748669 Active

Practice location

5075 Peachtree Pkwy, Suite 105-B
Norcross, GA 30092-6508

Fax (678) 990-0359

Mailing address

1418 Dresden Dr NE, Unit 205
Brookhaven, GA 30319-7000

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN013484 (GA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1174748669

Brandon Dale Frodge, DMD's National Provider Identifier is 1174748669, issued on Apr 17, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Norcross, GA. The record was last updated on Mar 23, 2016.