Provider Demographics
NPI:1528266335
Name:FRANKLIN, ANGELINA CAROL (DDS)
Entity type:Individual
Prefix:DR
First Name:ANGELINA
Middle Name:CAROL
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ANGELINA
Other - Middle Name:CAROL
Other - Last Name:MARCIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5245 SUNSET LAKE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-3793
Mailing Address - Country:US
Mailing Address - Phone:919-355-1170
Mailing Address - Fax:
Practice Address - Street 1:5245 SUNSET LAKE RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-3793
Practice Address - Country:US
Practice Address - Phone:919-355-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8370122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5909479Medicaid