Provider Demographics
NPI:1437530177
Name:FRANKLIN, NIEKIA MONIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:NIEKIA
Middle Name:MONIC
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6024 MAZUELA DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2208
Mailing Address - Country:US
Mailing Address - Phone:405-863-3380
Mailing Address - Fax:
Practice Address - Street 1:20700 LAKE CHABOT RD STE 205
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5402
Practice Address - Country:US
Practice Address - Phone:510-538-2098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INLDR150128390200000X
CA1013001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program