Provider Demographics
NPI:1053050120
Name:DE FRANCO, DAVID JOHN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:DE FRANCO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GALLERIA PASSARELLA 1
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MILAN
Mailing Address - Zip Code:20122
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:GALLERIA PASSARELLA 1
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MILAN
Practice Address - Zip Code:20122
Practice Address - Country:IT
Practice Address - Phone:335-632-4726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN159071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty