Provider Demographics
NPI:1558343160
Name:EDGE, FRANKLIN J (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:J
Last Name:EDGE
Suffix:
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 1:1311 KIMBER LN
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-4024
Mailing Address - Country:US
Mailing Address - Phone:812-477-3393
Mailing Address - Fax:812-479-4120
Practice Address - Street 1:1311 KIMBER LN
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4024
Practice Address - Country:US
Practice Address - Phone:812-477-3393
Practice Address - Fax:812-479-4120
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120101261223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry