MEDICARE: DR. DARRELL A FRANCIS DDS

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	1714G	WI

General Provider Information

NPI Number	:	1437318094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARRELL A FRANCIS DDS

Provider Business Mailing Address
First Line	:	519 MILWAUKEE AVE
Second Line	:
City	:	SOUTH MILWAUKEE
State	:	WI
Zip	:	53172-2201
Country	:	US
Telephone Number	:	414-762-3711
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 MILWAUKEE AVE
Second Line	:
City	:	SOUTH MILWAUKEE
State	:	WI
Zip	:	53172-2201
Country	:	US
Telephone Number	:	414-762-3711
Fax Number	:

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

Provider Enumeration Date	:	06/08/2008
Last Update Date	:	06/08/2008

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