Healthcare Provider Details

I. General information

NPI: 1417961095
Provider Name (Legal Business Name): FRANKLIN DALE HAMBRIGHT D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S MALONE ST SUITE D
ATHENS AL
35611-2414
US

IV. Provider business mailing address

102 S MALONE ST SUITE D
ATHENS AL
35611-2414
US

V. Phone/Fax

Practice location:
  • Phone: 256-232-4212
  • Fax: 256-233-0717
Mailing address:
  • Phone: 256-232-4212
  • Fax: 256-233-0717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5396
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: