Healthcare Provider Details

I. General information

NPI: 1366433997
Provider Name (Legal Business Name): FRANCIS GA SOLGA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E MAIN ST
SCHUYLKILL HAVEN PA
17972-1605
US

IV. Provider business mailing address

103 E MAIN ST
SCHUYLKILL HAVEN PA
17972-1605
US

V. Phone/Fax

Practice location:
  • Phone: 570-385-1344
  • Fax: 570-385-1312
Mailing address:
  • Phone: 570-385-1344
  • Fax: 570-385-1312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS017141
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: