Provider Demographics
NPI:1013026111
Name:FRANCIS, PERRY T (DDS)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:T
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2145 GREEN VISTA DR
Mailing Address - Street 2:110
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8543
Mailing Address - Country:US
Mailing Address - Phone:775-331-9477
Mailing Address - Fax:775-331-2181
Practice Address - Street 1:2145 GREEN VISTA DR
Practice Address - Street 2:110
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8543
Practice Address - Country:US
Practice Address - Phone:775-331-9477
Practice Address - Fax:775-331-2181
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV40541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice