Healthcare Provider Details

I. General information

NPI: 1679681860
Provider Name (Legal Business Name): WILLIAM DALE FRANKS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: W. DALE FRANKS JR. MD

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1366 BROADCLOTH ST STE 101
FORT MILL SC
29715-4551
US

IV. Provider business mailing address

1366 BROADCLOTH ST STE 101
FORT MILL SC
29715-4551
US

V. Phone/Fax

Practice location:
  • Phone: 980-237-6958
  • Fax: 980-237-8829
Mailing address:
  • Phone: 980-237-6958
  • Fax: 980-237-8829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number35038
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number35038
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number35038
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: