Provider Demographics
NPI:1679546543
Name:KRUSE, FRANK A III (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:KRUSE
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5983 HIGHWAY 53 E
Mailing Address - Street 2:HIGHTOWER PLACE
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-6293
Mailing Address - Country:US
Mailing Address - Phone:706-216-4402
Mailing Address - Fax:706-216-4404
Practice Address - Street 1:5983 HIGHWAY 53 E
Practice Address - Street 2:HIGHTOWER PLACE
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-9513
Practice Address - Country:US
Practice Address - Phone:706-216-4402
Practice Address - Fax:706-216-4404
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0109041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice