Healthcare Provider Details

I. General information

NPI: 1700811585
Provider Name (Legal Business Name): FRANCIS A CONNOR JR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 MAIN ST
EAST GREENWICH RI
02818-3187
US

IV. Provider business mailing address

990 MAIN ST
EAST GREENWICH RI
02818-3187
US

V. Phone/Fax

Practice location:
  • Phone: 401-885-8575
  • Fax: 401-885-8577
Mailing address:
  • Phone: 401-885-8575
  • Fax: 401-885-8577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number1471
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: