Healthcare Provider Details

I. General information

NPI: 1528186970
Provider Name (Legal Business Name): FRANCINE VICKERS D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9377 E BELL RD STE 337
SCOTTSDALE AZ
85260-1502
US

IV. Provider business mailing address

762 W CANARY WAY
CHANDLER AZ
85248-3242
US

V. Phone/Fax

Practice location:
  • Phone: 480-342-8118
  • Fax: 480-342-8131
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number5203
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: