Provider Demographics
NPI:1922195312
Name:COLLINS, FRANCIS JV (MD, DDS)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:JV
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 LOWER SUNNYSLOPE RD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-9619
Mailing Address - Country:US
Mailing Address - Phone:509-665-0852
Mailing Address - Fax:509-662-2638
Practice Address - Street 1:600 ORONDO AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2800
Practice Address - Country:US
Practice Address - Phone:509-662-8750
Practice Address - Fax:509-662-2638
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA54031223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1857200Medicaid
WA5009600Medicaid
WA5009600Medicaid