Provider Demographics
NPI:1902051048
Name:DEXTER, FRANKLIN III (MD, PHD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:
Last Name:DEXTER
Suffix:III
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA, 6 JCP
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-621-6360
Mailing Address - Fax:603-947-1304
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA, 6 JCP
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-621-6360
Practice Address - Fax:603-947-1304
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA29564207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0000106633Medicaid
IAF72227Medicare UPIN
IA0000106633Medicaid