Provider Demographics
NPI:1104425230
Name:SUNDEEP FRANKLIN DMD & DAIANA CAPOTA DMD PLLC
Entity type:Organization
Organization Name:SUNDEEP FRANKLIN DMD & DAIANA CAPOTA DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:847-697-2550
Mailing Address - Street 1:320 N MCLEAN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-3220
Mailing Address - Country:US
Mailing Address - Phone:847-697-2550
Mailing Address - Fax:
Practice Address - Street 1:320 N MCLEAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-3220
Practice Address - Country:US
Practice Address - Phone:847-697-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty