Provider Demographics
NPI:1053340034
Name:FROONJIAN, H. CRAIG (DMD)
Entity type:Individual
Prefix:DR
First Name:H.
Middle Name:CRAIG
Last Name:FROONJIAN
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 1:1 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-2658
Mailing Address - Country:US
Mailing Address - Phone:201-265-2252
Mailing Address - Fax:201-265-1177
Practice Address - Street 1:1 KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-2658
Practice Address - Country:US
Practice Address - Phone:201-265-2252
Practice Address - Fax:201-265-1177
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI016239001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice