Healthcare Provider Details

I. General information

NPI: 1982247102
Provider Name (Legal Business Name): THEBIS A. FRANCESCHI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 10/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 DELMAR WAY APT 116
DELRAY BEACH FL
33483-3366
US

IV. Provider business mailing address

813 DELMAR WAY APT 116
DELRAY BEACH FL
33483-3366
US

V. Phone/Fax

Practice location:
  • Phone: 786-334-8418
  • Fax:
Mailing address:
  • Phone: 786-317-2622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN22754
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: