Provider Demographics
NPI:1346422698
Name:SILAGON, FRANCIS LUCAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:LUCAS
Last Name:SILAGON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N HERITAGE DR STE E2
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-5544
Mailing Address - Country:US
Mailing Address - Phone:760-446-7978
Mailing Address - Fax:760-446-5998
Practice Address - Street 1:900 N. HERITAGE DRIVE BLDGE E 2
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-5537
Practice Address - Country:US
Practice Address - Phone:760-446-7978
Practice Address - Fax:661-459-1974
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA565971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56597OtherCALIFORNIA DENTAL LICENSE