Provider Demographics
NPI:1710154026
Name:SUSAN G. FRANCIS, DDS, PA
Entity Type:Organization
Organization Name:SUSAN G. FRANCIS, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:GEHM
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:254-799-4000
Mailing Address - Street 1:3200 BELLMEAD DR
Mailing Address - Street 2:
Mailing Address - City:BELLMEAD
Mailing Address - State:TX
Mailing Address - Zip Code:76705-3077
Mailing Address - Country:US
Mailing Address - Phone:254-799-4000
Mailing Address - Fax:254-799-4035
Practice Address - Street 1:3200 BELLMEAD DR
Practice Address - Street 2:
Practice Address - City:BELLMEAD
Practice Address - State:TX
Practice Address - Zip Code:76705-3077
Practice Address - Country:US
Practice Address - Phone:254-799-4000
Practice Address - Fax:254-799-4035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009567101Medicaid