Provider Demographics
NPI:1366746760
Name:FRANKFORT DENTAL CENTER, LLC EMILY GILTNER DDS
Entity type:Organization
Organization Name:FRANKFORT DENTAL CENTER, LLC EMILY GILTNER DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:GILTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-654-8811
Mailing Address - Street 1:900 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IN
Mailing Address - Zip Code:46041-2567
Mailing Address - Country:US
Mailing Address - Phone:765-654-8811
Mailing Address - Fax:765-654-0625
Practice Address - Street 1:900 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-2567
Practice Address - Country:US
Practice Address - Phone:765-654-8811
Practice Address - Fax:765-654-0625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010601A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN12010601AOtherLICENSE NUMBER
IN1043354244OtherTYPE 1 NPI