Provider Demographics
NPI:1255563037
Name:FRANKE, GERALD LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:LYNN
Last Name:FRANKE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24861 DEL PRADO
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2853
Mailing Address - Country:US
Mailing Address - Phone:949-661-6255
Mailing Address - Fax:949-661-7736
Practice Address - Street 1:24861 DEL PRADO
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2853
Practice Address - Country:US
Practice Address - Phone:949-661-6255
Practice Address - Fax:949-661-7736
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice