Provider Demographics
NPI:1225252497
Name:FRANZ, GARY ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:ALAN
Last Name:FRANZ
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 1:201 E MURDOCK ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3525
Mailing Address - Country:US
Mailing Address - Phone:316-262-2130
Mailing Address - Fax:316-262-2343
Practice Address - Street 1:201 E MURDOCK ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3525
Practice Address - Country:US
Practice Address - Phone:316-262-2130
Practice Address - Fax:316-262-2343
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS55651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice