Provider Demographics
NPI:1659809242
Name:NIEVES, FRANCISCO JAVIER (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:NIEVES
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 CHICKERING RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-8019
Mailing Address - Country:US
Mailing Address - Phone:817-714-1832
Mailing Address - Fax:
Practice Address - Street 1:2214 E US HIGHWAY 377
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-6010
Practice Address - Country:US
Practice Address - Phone:817-361-0929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0411981223G0001X
TX328901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice