Provider Demographics
NPI:1518005396
Name:AFFORDABLE DENTURES - FRANKLIN, P.C.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - FRANKLIN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WICK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-736-0232
Mailing Address - Street 1:2134 HOLIDAY LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-2600
Mailing Address - Country:US
Mailing Address - Phone:317-736-0232
Mailing Address - Fax:
Practice Address - Street 1:2134 HOLIDAY LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2600
Practice Address - Country:US
Practice Address - Phone:317-736-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008630122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty