Provider Demographics
NPI:1225077910
Name:FRANZEN, BARRY R (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:R
Last Name:FRANZEN
Suffix:
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 1:10401 W LINCOLN AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-1255
Mailing Address - Country:US
Mailing Address - Phone:414-543-5432
Mailing Address - Fax:414-543-6004
Practice Address - Street 1:10401 W LINCOLN AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-1255
Practice Address - Country:US
Practice Address - Phone:414-543-5432
Practice Address - Fax:414-543-6004
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3016WI1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIT-61944Medicare UPIN