Provider Demographics
NPI:1376586669
Name:FRANKLIN, JAMES R (DDS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:FRANKLIN
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 1:15 SHAKER RUN RD
Mailing Address - Street 2:
Mailing Address - City:PEEBLES
Mailing Address - State:OH
Mailing Address - Zip Code:45660
Mailing Address - Country:US
Mailing Address - Phone:937-587-3903
Mailing Address - Fax:937-587-3302
Practice Address - Street 1:15 SHAKER RUN RD
Practice Address - Street 2:
Practice Address - City:PEEBLES
Practice Address - State:OH
Practice Address - Zip Code:45660
Practice Address - Country:US
Practice Address - Phone:937-587-3903
Practice Address - Fax:937-587-3302
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17338122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0521224Medicaid