Provider Demographics
NPI:1144541061
Name:ERWIN, FRANK BENNY (DMD)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:BENNY
Last Name:ERWIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 BIG A RD
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-6026
Mailing Address - Country:US
Mailing Address - Phone:706-886-1491
Mailing Address - Fax:706-886-1493
Practice Address - Street 1:941 BIG A RD
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-6026
Practice Address - Country:US
Practice Address - Phone:706-886-1491
Practice Address - Fax:706-886-1493
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA91571223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics