Healthcare Provider Details

I. General information

NPI: 1689744484
Provider Name (Legal Business Name): JOHN R FRANCIS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8671 W UNION HILLS DR STE 501
PEORIA AZ
85382-7005
US

IV. Provider business mailing address

8671 W UNION HILLS DR STE 501
PEORIA AZ
85382-7005
US

V. Phone/Fax

Practice location:
  • Phone: 623-583-3960
  • Fax:
Mailing address:
  • Phone: 623-583-3960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number4369
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: