Provider Demographics
NPI:1275709453
Name:FRANKS, CHARLES RONALD (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:RONALD
Last Name:FRANKS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:202 SAINT CLAIRE PL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2121
Mailing Address - Country:US
Mailing Address - Phone:410-604-6915
Mailing Address - Fax:410-604-2358
Practice Address - Street 1:202 SAINT CLAIRE PL
Practice Address - Street 2:SUITE 200
Practice Address - City:STEVENSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21666-2121
Practice Address - Country:US
Practice Address - Phone:410-604-6915
Practice Address - Fax:410-604-2358
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD41591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice