Provider Demographics
NPI:1417227760
Name:EDMOND FRANKLIN,JR. D.M.D., PC
Entity type:Organization
Organization Name:EDMOND FRANKLIN,JR. D.M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD
Authorized Official - Prefix:DR
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:706-554-7041
Mailing Address - Street 1:213 COUNCIL ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-1453
Mailing Address - Country:US
Mailing Address - Phone:706-554-7041
Mailing Address - Fax:706-554-5878
Practice Address - Street 1:213 COUNCIL ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-1453
Practice Address - Country:US
Practice Address - Phone:705-554-7041
Practice Address - Fax:706-554-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8942122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty