Provider Demographics
NPI:1043346042
Name:FRANSISCUS XAVERIUS DDS, PLLC
Entity Type:Organization
Organization Name:FRANSISCUS XAVERIUS DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANSISCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:XAVERIUS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-626-7370
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:KERHONKSON
Mailing Address - State:NY
Mailing Address - Zip Code:12446-0237
Mailing Address - Country:US
Mailing Address - Phone:845-626-7370
Mailing Address - Fax:
Practice Address - Street 1:12 SHELDON DRIVE
Practice Address - Street 2:
Practice Address - City:KERHONKSON
Practice Address - State:NY
Practice Address - Zip Code:12446
Practice Address - Country:US
Practice Address - Phone:845-626-7370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051359122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty