Provider Demographics
NPI:1588677025
Name:FRANKLIN-PITTS, DONNA LAURAETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LAURAETTE
Last Name:FRANKLIN-PITTS
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 1:631 S BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1602
Mailing Address - Country:US
Mailing Address - Phone:903-593-2330
Mailing Address - Fax:903-596-9749
Practice Address - Street 1:631 S BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1602
Practice Address - Country:US
Practice Address - Phone:903-593-2330
Practice Address - Fax:903-596-9749
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice