Provider Demographics
NPI:1215012562
Name:SIERRA, DENNIS FRANCISCO (DMD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:FRANCISCO
Last Name:SIERRA
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 1:20283 STATE ROAD 7
Mailing Address - Street 2:SUITE 224, BUILDING 200
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6901
Mailing Address - Country:US
Mailing Address - Phone:561-470-2345
Mailing Address - Fax:561-470-2344
Practice Address - Street 1:20283 STATE ROAD 7
Practice Address - Street 2:SUITE 224, BUILDING 200
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6901
Practice Address - Country:US
Practice Address - Phone:561-470-2345
Practice Address - Fax:561-470-2344
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL143821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice