MEDICARE: DR. JOSEPH MICHAEL FRANCIS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	110335	CA

General Provider Information

NPI Number	:	1134806466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MICHAEL FRANCIS DMD

Provider Business Mailing Address
First Line	:	12652 TORREY BLUFF DR APT 302
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-4253
Country	:	US
Telephone Number	:	775-848-7276
Fax Number	:

Provider Business Practice Location Address
First Line	:	15725 POMERADO RD STE 204
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-2059
Country	:	US
Telephone Number	:	858-485-8420
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	09/05/2024

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