Provider Demographics
NPI:1659558484
Name:STEVEN L. FRANCIS D.D.S., INC.
Entity Type:Organization
Organization Name:STEVEN L. FRANCIS D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-351-0001
Mailing Address - Street 1:11695 SLATE AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-5194
Mailing Address - Country:US
Mailing Address - Phone:951-351-0001
Mailing Address - Fax:951-351-0077
Practice Address - Street 1:11695 SLATE AVE
Practice Address - Street 2:STE 100
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-5194
Practice Address - Country:US
Practice Address - Phone:951-351-0001
Practice Address - Fax:951-351-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA288571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6340820001Medicare NSC