Provider Demographics
NPI:1952319857
Name:FRANKLIN DENTAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:FRANKLIN DENTAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-528-0610
Mailing Address - Street 1:397 E CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1304
Mailing Address - Country:US
Mailing Address - Phone:508-528-0610
Mailing Address - Fax:508-520-0591
Practice Address - Street 1:397 E CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1304
Practice Address - Country:US
Practice Address - Phone:508-528-0610
Practice Address - Fax:508-520-0591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA161451223G0001X
MA194311223G0001X
MA114821223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty