Provider Demographics
NPI:1235241621
Name:FRANKLIN JERRY MEEKS DDS INC
Entity Type:Organization
Organization Name:FRANKLIN JERRY MEEKS DDS INC
Other - Org Name:F JERRY MEEKS DDS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:JERRY
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-494-7658
Mailing Address - Street 1:14615 SAN PEDRO
Mailing Address - Street 2:STE 215
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4374
Mailing Address - Country:US
Mailing Address - Phone:210-494-7658
Mailing Address - Fax:210-494-7658
Practice Address - Street 1:14615 SAN PEDRO
Practice Address - Street 2:STE 215
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4374
Practice Address - Country:US
Practice Address - Phone:210-494-7658
Practice Address - Fax:210-494-7658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty