Provider Demographics
NPI:1578991931
Name:FRANKLIN, ELISE N HELVIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELISE
Middle Name:N HELVIE
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 1:150 E BOISE AVE
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-4379
Mailing Address - Country:US
Mailing Address - Phone:208-385-7500
Mailing Address - Fax:
Practice Address - Street 1:150 E BOISE AVE
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-4379
Practice Address - Country:US
Practice Address - Phone:208-385-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-4539122300000X
TX30320122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist