Provider Demographics
NPI:1679585467
Name:PINK, FRANK ERIC (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ERIC
Last Name:PINK
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22921 STERLING MANOR LOOP
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-4146
Mailing Address - Country:US
Mailing Address - Phone:906-286-0430
Mailing Address - Fax:813-574-8484
Practice Address - Street 1:3400 GULF TO BAY BLVD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-4514
Practice Address - Country:US
Practice Address - Phone:906-286-0430
Practice Address - Fax:813-574-8484
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901012237122300000X
MI29010012237122300000X
FLDTP7801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist