Franklin Medical Group, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FRANKLIN MEDICAL GROUP, PC

Doing business as

Saint Mary's Dental Center

Practice address

56 Franklin St
Waterbury, CT 06706-1221

Phone

(203) 709-7055

Fax

(203) 709-7750

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Novak

Title

Executive Director

Phone

(203) 709-3508

Specialties & licenses 1

Addresses

Other names 1

• Saint Mary's Dental Center Doing business as

Tax ID family

Franklin Medical Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Franklin Medical Group, PC

  • Durable Medical Equipment & Medical Supplies
  • Waterbury, CT
  • NPI 1578770632
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1912121856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "address_2": "3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061221",
            "telephone_number": "203-709-8873",
            "fax_number": "203-709-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061221",
            "telephone_number": "203-709-7055",
            "fax_number": "203-709-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-709-3508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mary's Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher France, MFT,BA
• Kimberly Regina Francis
• Karri Francisco, MA, MFT
• Franklin Medical Group, PC
• Franklin Medical Group, PC
• David Franklin
• William Ghavami Frederick, MD
• Stephanie Grace Dibble Fredericks, PA-C
• Sakinah Nacole Freeman, LMSW
• Anna C Freitag, M.D.

• Dentist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.