Provider Demographics
NPI:1700060928
Name:FONTE, FRANCISCO ERNESTO (DDS)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:ERNESTO
Last Name:FONTE
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 1:11093 NW 138TH ST UNIT 118
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1191
Mailing Address - Country:US
Mailing Address - Phone:786-600-4040
Mailing Address - Fax:786-953-5174
Practice Address - Street 1:514 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3523
Practice Address - Country:US
Practice Address - Phone:561-296-6600
Practice Address - Fax:561-296-6601
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 107461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice