Provider Demographics
NPI:1467835140
Name:FRANCIS, AMIR VICTOR (DDS)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:VICTOR
Last Name:FRANCIS
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 1:1100 POPLAR VIEW LN N STE 1
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-9323
Mailing Address - Country:US
Mailing Address - Phone:901-854-4422
Mailing Address - Fax:
Practice Address - Street 1:1100 POPLAR VIEW LN N STE 1
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-9323
Practice Address - Country:US
Practice Address - Phone:901-854-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN109861223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery