Provider Demographics
NPI:1700774643
Name:MENDEZ-FRANCIA, ADRIANA FERNANDA (DMD)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:FERNANDA
Last Name:MENDEZ-FRANCIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ADRIANA
Other - Middle Name:FERNANDA
Other - Last Name:MENDEZ-FRANCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:6453 W 81ST ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:IL
Mailing Address - Zip Code:60459-1701
Mailing Address - Country:US
Mailing Address - Phone:708-513-0696
Mailing Address - Fax:
Practice Address - Street 1:530 NE GLEN OAK AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-0001
Practice Address - Country:US
Practice Address - Phone:309-624-4012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0360811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice