Provider Demographics
NPI:1396246856
Name:FRANZEN, JOHN MATTHEW (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MATTHEW
Last Name:FRANZEN
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 1:8007 MEADOWCROFT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4709
Mailing Address - Country:US
Mailing Address - Phone:713-819-1177
Mailing Address - Fax:
Practice Address - Street 1:2114 CENTER ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4164
Practice Address - Country:US
Practice Address - Phone:281-479-5373
Practice Address - Fax:281-479-7731
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX335981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty