Provider Demographics
NPI:1588236541
Name:PROULX, FRANCOIS EMILE (DMD)
Entity type:Individual
Prefix:
First Name:FRANCOIS
Middle Name:EMILE
Last Name:PROULX
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 1:515 DELAWARE STREET SE
Mailing Address - Street 2:7-174 MOOS TOWER
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-8600
Mailing Address - Fax:612-624-2669
Practice Address - Street 1:515 DELAWARE STREET S.E.
Practice Address - Street 2:7-174 MOOS TOWER
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-624-8600
Practice Address - Fax:612-624-2669
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-10
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND147091223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery