Provider Demographics
NPI:1124184775
Name:D MCKAY FRANCOM DDS
Entity Type:Organization
Organization Name:D MCKAY FRANCOM DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:D
Authorized Official - Middle Name:MCKAY
Authorized Official - Last Name:FRANCOM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:307-789-8910
Mailing Address - Street 1:170 ARROWHEAD DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82930
Mailing Address - Country:US
Mailing Address - Phone:307-789-8910
Mailing Address - Fax:307-789-5557
Practice Address - Street 1:170 ARROWHEAD DR
Practice Address - Street 2:SUITE 1
Practice Address - City:EVANSTON
Practice Address - State:WY
Practice Address - Zip Code:82930
Practice Address - Country:US
Practice Address - Phone:307-789-8910
Practice Address - Fax:307-789-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY10121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty