Brad Anthony Franklin, D.M.D.
Individual provider Active NPI General Practice Dentistry · Flora, MS
NPI 1528042801 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1528042801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3294-04 (MS)
- Practice address
- 106 Central Blvd
Flora, MS 39071-8003 - Phone
- (601) 879-0031
- Fax
- (601) 879-0091
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170124001911 | MS | Order and Referring Only - Other (Physician) |
0840572061 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3294-04 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3294-04 | MS | Yes |
Addresses
Primary practice location
106 Central Blvd
Flora, MS 39071-8003
Mailing address
106 Central Blvd
Flora, MS 39071-8003
Phone (601) 879-0031
Other providers in Flora, MS
- Flora Drugs, Inc.
- Flora Family Physicians
- Flora Pharmacy LLC
- Flora Physicians, PLLC
- Jeffrey S Foster
- Te-Nail Monee' Gayden
- Ashley Harris Hancock
- Handprints, LLC
- Innovative Vision Solutions, LLC
- Olivia Kate Lagando
All providers in Flora, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.