Provider Demographics
NPI:1255417630
Name:FRANKS, MARC JOSEPH (DMD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:JOSEPH
Last Name:FRANKS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:MARC
Other - Middle Name:JOSEPH
Other - Last Name:FRANKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:414 N FANT ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5716
Mailing Address - Country:US
Mailing Address - Phone:203-247-9535
Mailing Address - Fax:203-866-7252
Practice Address - Street 1:414 N FANT ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5716
Practice Address - Country:US
Practice Address - Phone:203-247-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7075122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist