MEDICARE: FRANKLIN JOHN HENRICH DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6135	OK

General Provider Information

NPI Number	:	1174754154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN JOHN HENRICH DDS

Provider Business Mailing Address
First Line	:	7905 E 106TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-6802
Country	:	US
Telephone Number	:	918-528-6555
Fax Number	:	918-528-6556

Provider Business Practice Location Address
First Line	:	7905 E 106TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-6802
Country	:	US
Telephone Number	:	918-528-6555
Fax Number	:	918-528-6556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	06/15/2020

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Directions to “ FRANKLIN JOHN HENRICH DDS” Practice Location

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