Provider Demographics
NPI:1669542544
Name:FRANKLIN, JANE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:MARIE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LAS CRUCES
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5300
Mailing Address - Country:US
Mailing Address - Phone:949-852-8575
Mailing Address - Fax:
Practice Address - Street 1:3620 S BRISTOL ST STE 304
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-7316
Practice Address - Country:US
Practice Address - Phone:714-557-7769
Practice Address - Fax:714-557-0822
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA379541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice