MEDICARE: WILLIAM DALE FRANKS JR. MD

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	2086S0122X	Plastic and Reconstructive Surgery Physician	35038	IA
2	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	35038	IA
3	208200000X	Plastic Surgery Physician	35038	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679681860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM DALE FRANKS JR. MD

Provider Business Mailing Address
First Line	:	1366 BROADCLOTH ST STE 101
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-4551
Country	:	US
Telephone Number	:	980-237-6958
Fax Number	:	980-237-8829

Provider Business Practice Location Address
First Line	:	1366 BROADCLOTH ST STE 101
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-4551
Country	:	US
Telephone Number	:	980-237-6958
Fax Number	:	980-237-8829

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	01/15/2026

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