Healthcare Provider Details
I. General information
NPI: 1255540464
Provider Name (Legal Business Name): A & R FRANKLIN DENTAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3391 STATE ROUTE 27 SUITE 103
FRANKLIN PARK NJ
08823-1358
US
IV. Provider business mailing address
3391 STATE ROUTE 27 SUITE 103
FRANKLIN PARK NJ
08823-1358
US
V. Phone/Fax
- Phone: 732-821-2800
- Fax:
- Phone: 732-821-2800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELE
SHINKARICK
Title or Position: OFFICE MANAGER
Credential:
Phone: 732-821-2800