Provider Demographics
NPI:1265615348
Name:FRANCIS, JOHN HENRY (DD,S)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HENRY
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DD,S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 KEIR CT
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-2101
Mailing Address - Country:US
Mailing Address - Phone:301-568-2014
Mailing Address - Fax:
Practice Address - Street 1:4900 KEIR CT
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-2101
Practice Address - Country:US
Practice Address - Phone:301-568-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6886122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist