Provider Demographics
NPI:1619303492
Name:FRANCO, SALVATORE L (DMD)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:L
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 1:654 MADISON AVE
Mailing Address - Street 2:SUITE1501
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8404
Mailing Address - Country:US
Mailing Address - Phone:212-888-6214
Mailing Address - Fax:212-826-1258
Practice Address - Street 1:654 MADISON AVE
Practice Address - Street 2:SUITE1501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8404
Practice Address - Country:US
Practice Address - Phone:212-888-6214
Practice Address - Fax:212-826-1258
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044579-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist