Provider Demographics
NPI:1750371779
Name:FRANKLIN-FRESHWATER, JOYCE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:FRANKLIN-FRESHWATER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 E RAINES RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38109-8368
Mailing Address - Country:US
Mailing Address - Phone:901-345-8582
Mailing Address - Fax:901-332-8523
Practice Address - Street 1:577 E RAINES RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-8368
Practice Address - Country:US
Practice Address - Phone:901-345-8582
Practice Address - Fax:901-332-8523
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0051001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN62-1435678Medicaid