Provider Demographics
NPI:1134148364
Name:DEFRANCESCO, JOSEPH G (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:DEFRANCESCO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3420
Mailing Address - Country:US
Mailing Address - Phone:412-766-1500
Mailing Address - Fax:412-766-8090
Practice Address - Street 1:640 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3420
Practice Address - Country:US
Practice Address - Phone:412-766-1500
Practice Address - Fax:412-766-8090
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020976L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery