Provider Demographics
NPI:1821520842
Name:AFFORDABLE DENTURES-FRANKLIN, P.C.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES-FRANKLIN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:317-736-0232
Mailing Address - Street 1:160 HOLIDAY PL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-2622
Mailing Address - Country:US
Mailing Address - Phone:317-736-0232
Mailing Address - Fax:
Practice Address - Street 1:160 HOLIDAY PL
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2622
Practice Address - Country:US
Practice Address - Phone:317-736-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty