Provider Demographics
NPI:1750471488
Name:FRANKE FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:FRANKE FAMILY DENTISTRY, P.C.
Other - Org Name:FRANKE FAMILY DENTISTRY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:FRANKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:231-352-9221
Mailing Address - Street 1:PO BOX 793
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:MI
Mailing Address - Zip Code:49635-0793
Mailing Address - Country:US
Mailing Address - Phone:231-352-9221
Mailing Address - Fax:231-352-9241
Practice Address - Street 1:2266 FRANKFORT HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:MI
Practice Address - Zip Code:49635-9771
Practice Address - Country:US
Practice Address - Phone:231-352-9221
Practice Address - Fax:231-352-9241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
338798OtherUNITED CONCORDIA
MID800528OtherBC/BS OF MI