Healthcare Provider Details

I. General information

NPI: 1598805608
Provider Name (Legal Business Name): FRANKLYN SCOTT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E WADSWORTH AVE
PHILADELPHIA PA
19150-3417
US

IV. Provider business mailing address

900 E WADSWORTH AVE
PHILADELPHIA PA
19150-3417
US

V. Phone/Fax

Practice location:
  • Phone: 215-247-6962
  • Fax: 215-247-0509
Mailing address:
  • Phone: 215-247-6962
  • Fax: 215-247-0509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS022776L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: