Provider Demographics
NPI:1871654269
Name:FRANKLIN, KEVIN AUBREY (DMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:AUBREY
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 W SAN MIGUEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-5947
Mailing Address - Country:US
Mailing Address - Phone:813-448-7828
Mailing Address - Fax:
Practice Address - Street 1:4009 TAMPA RD
Practice Address - Street 2:SUITE 6
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3206
Practice Address - Country:US
Practice Address - Phone:813-448-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN119751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice