Provider Demographics
NPI:1508255274
Name:FN VENTURES
Entity Type:Organization
Organization Name:FN VENTURES
Other - Org Name:MINTY FRESH DENTAL AND ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:NIELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-592-9543
Mailing Address - Street 1:1000 PRESTON RD N
Mailing Address - Street 2:SUITE 40
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-8779
Mailing Address - Country:US
Mailing Address - Phone:801-592-9543
Mailing Address - Fax:
Practice Address - Street 1:1000 PRESTON RD N
Practice Address - Street 2:SUITE 40
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-8779
Practice Address - Country:US
Practice Address - Phone:801-592-9543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-17
Last Update Date:2015-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX306671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty