Provider Demographics
NPI:1043568603
Name:FROST, ANGELA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:FROST
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8540 BROADWAY ST STE 108
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7710
Mailing Address - Country:US
Mailing Address - Phone:281-617-7712
Mailing Address - Fax:832-617-7638
Practice Address - Street 1:8540 BROADWAY ST STE 108
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7710
Practice Address - Country:US
Practice Address - Phone:281-617-7712
Practice Address - Fax:832-617-7638
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice