Provider Demographics
NPI:1821090267
Name:GARTIN, FRANKLIN P (D D S)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:P
Last Name:GARTIN
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 S SUNNYLANE RD
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-3011
Mailing Address - Country:US
Mailing Address - Phone:405-677-1121
Mailing Address - Fax:405-670-3083
Practice Address - Street 1:1225 S SUNNYLANE RD
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-3011
Practice Address - Country:US
Practice Address - Phone:405-677-1121
Practice Address - Fax:405-670-3083
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK41371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice