Provider Demographics
NPI:1073902441
Name:MICHAEL J. FRANQUEMONT, DDS,PLC
Entity Type:Organization
Organization Name:MICHAEL J. FRANQUEMONT, DDS,PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FRANQUEMONT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-795-0066
Mailing Address - Street 1:6650 S VINE ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2735
Mailing Address - Country:US
Mailing Address - Phone:303-795-0066
Mailing Address - Fax:303-648-5182
Practice Address - Street 1:6650 S VINE ST
Practice Address - Street 2:SUITE 260
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-2735
Practice Address - Country:US
Practice Address - Phone:303-795-0066
Practice Address - Fax:303-648-5182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty