Provider Demographics
NPI:1558353037
Name:FRANKLIN, ELBERT A (DDS)
Entity Type:Individual
Prefix:
First Name:ELBERT
Middle Name:A
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 1:925 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:OK
Mailing Address - Zip Code:73086-4409
Mailing Address - Country:US
Mailing Address - Phone:580-622-6144
Mailing Address - Fax:580-622-5350
Practice Address - Street 1:925 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:OK
Practice Address - Zip Code:73086-4409
Practice Address - Country:US
Practice Address - Phone:580-622-6144
Practice Address - Fax:580-622-5350
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK40241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice