MEDICARE: DR. FRANKLIN P GARTIN D. D. S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4137	OK

General Provider Information

NPI Number	:	1821090267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANKLIN P GARTIN D. D. S.

Provider Business Mailing Address
First Line	:	1225 S SUNNYLANE RD
Second Line	:
City	:	DEL CITY
State	:	OK
Zip	:	73115-3011
Country	:	US
Telephone Number	:	405-677-1121
Fax Number	:	405-670-3083

Provider Business Practice Location Address
First Line	:	1225 S SUNNYLANE RD
Second Line	:
City	:	DEL CITY
State	:	OK
Zip	:	73115-3011
Country	:	US
Telephone Number	:	405-677-1121
Fax Number	:	405-670-3083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

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