Provider Demographics
NPI:1942415955
Name:FRANCIS, JOHN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
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 1:1315 MACOM DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9360
Mailing Address - Country:US
Mailing Address - Phone:630-701-2347
Mailing Address - Fax:630-929-8540
Practice Address - Street 1:1315 MACOM DR
Practice Address - Street 2:SUITE 106
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9360
Practice Address - Country:US
Practice Address - Phone:630-701-2347
Practice Address - Fax:630-929-8540
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190133461223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL019013346OtherSTATE LICENSE NUMBER