Healthcare Provider Details

I. General information

NPI: 1124579420
Provider Name (Legal Business Name): FRANKLIN AND COLLINS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W HIGHWAY 290 STE 201
DRIPPING SPRINGS TX
78620-4379
US

IV. Provider business mailing address

400 W HIGHWAY 290 STE 201
DRIPPING SPRINGS TX
78620-4379
US

V. Phone/Fax

Practice location:
  • Phone: 512-894-3779
  • Fax:
Mailing address:
  • Phone: 512-894-3779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number21365
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number16185
License Number StateTX

VIII. Authorized Official

Name: CLAUDIA WOOLFORD
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 512-451-8310