Provider Demographics
NPI:1346971561
Name:FRANCO, ADRIAN MICHAEL (DMD)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:MICHAEL
Last Name: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 1:19506 SW 78TH PL
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7515
Mailing Address - Country:US
Mailing Address - Phone:786-445-9567
Mailing Address - Fax:
Practice Address - Street 1:7210 SW 57TH AVE STE 204
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5321
Practice Address - Country:US
Practice Address - Phone:305-665-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-20
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL270911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice