MEDICARE: NICHOLAS R FRANCO JR. 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	1223G0001X	General Practice Dentistry	13581	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	X10244	OTHER	MA	BXBS
3	00004	OTHER	MA	DELTA

General Provider Information

NPI Number	:	1386656155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS R FRANCO JR. DMD

Provider Business Mailing Address
First Line	:	3 MERIDIAN STREET
Second Line	:
City	:	EAST BOSTON
State	:	MA
Zip	:	02128-1928
Country	:	US
Telephone Number	:	617-569-7300
Fax Number	:	617-569-8689

Provider Business Practice Location Address
First Line	:	3 MERIDIAN STREET
Second Line	:
City	:	EAST BOSTON
State	:	MA
Zip	:	02128-1928
Country	:	US
Telephone Number	:	617-569-7300
Fax Number	:	617-569-8689

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/08/2007

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