Provider Demographics
NPI:1467573576
Name:FRANKLIN, EDMOND JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:EDMOND
Middle Name:
Last Name:FRANKLIN
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 COUNCIL ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-1454
Mailing Address - Country:US
Mailing Address - Phone:706-554-7041
Mailing Address - Fax:706-554-5878
Practice Address - Street 1:220 COUNCIL ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-1454
Practice Address - Country:US
Practice Address - Phone:706-554-7041
Practice Address - Fax:706-554-5878
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8942122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist