Provider Demographics
NPI:1801030796
Name:DAVID J FRANCATI DDS / SHERRY L WATERS DDS
Entity Type:Organization
Organization Name:DAVID J FRANCATI DDS / SHERRY L WATERS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRANCATI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-226-1052
Mailing Address - Street 1:14701 DETROIT AVE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-4115
Mailing Address - Country:US
Mailing Address - Phone:216-226-1052
Mailing Address - Fax:216-226-5677
Practice Address - Street 1:14701 DETROIT AVE
Practice Address - Street 2:SUITE 235
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4115
Practice Address - Country:US
Practice Address - Phone:216-226-1052
Practice Address - Fax:216-226-5677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19418122300000X
OH30022806122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0866595Medicaid