Provider Demographics
NPI:1710991898
Name:FRANCIS, TANESHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:TANESHA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3145
Mailing Address - Country:US
Mailing Address - Phone:302-379-0824
Mailing Address - Fax:302-379-0824
Practice Address - Street 1:150 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3145
Practice Address - Country:US
Practice Address - Phone:302-379-0824
Practice Address - Fax:302-379-0824
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22511011223P0221X
NY0554861223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry