Provider Demographics
NPI:1841233343
Name:FRANCIS, JEFF L (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:L
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 1:3909 VAN BUREN BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3635
Mailing Address - Country:US
Mailing Address - Phone:951-359-0645
Mailing Address - Fax:951-352-8003
Practice Address - Street 1:3909 VAN BUREN BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3635
Practice Address - Country:US
Practice Address - Phone:951-359-0645
Practice Address - Fax:951-352-8003
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA279911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice