Provider Demographics
NPI:1821121096
Name:FRANCIS, STEVEN LEROY (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEROY
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11695 SLATE AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-5194
Mailing Address - Country:US
Mailing Address - Phone:951-351-0001
Mailing Address - Fax:951-351-0077
Practice Address - Street 1:11695 SLATE AVE
Practice Address - Street 2:STE 100
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-5194
Practice Address - Country:US
Practice Address - Phone:951-351-0001
Practice Address - Fax:951-351-0077
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28857122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33-0023133OtherEIN
CA6340820001Medicare NSC