Provider Demographics
NPI:1710086509
Name:FRANZESE, BLANCHE ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BLANCHE
Middle Name:ELIZABETH
Last Name:FRANZESE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N8400 N SHORE RD
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-9757
Mailing Address - Country:US
Mailing Address - Phone:716-913-8052
Mailing Address - Fax:
Practice Address - Street 1:1931 N 8TH ST
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-2740
Practice Address - Country:US
Practice Address - Phone:920-783-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0520881223G0001X
NV60761223G0001X
WI6855-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice