Provider Demographics
NPI:1225799281
Name:ANYA, FRANKLIN CHUKS (DDS)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:CHUKS
Last Name:ANYA
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 1:225 FRANKLIN RD UNIT 1406
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2694
Mailing Address - Country:US
Mailing Address - Phone:848-482-0141
Mailing Address - Fax:
Practice Address - Street 1:2239 HIGHWAY 20 SE STE H
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-2087
Practice Address - Country:US
Practice Address - Phone:770-921-3565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN122557122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist