Provider Demographics
NPI:1700811585
Name:CONNOR, FRANCIS A JR (DDS)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:A
Last Name:CONNOR
Suffix:JR
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 1:990 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3187
Mailing Address - Country:US
Mailing Address - Phone:401-885-8575
Mailing Address - Fax:401-885-8577
Practice Address - Street 1:990 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3187
Practice Address - Country:US
Practice Address - Phone:401-885-8575
Practice Address - Fax:401-885-8577
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI14711223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1508OtherDELTA DENTAL
RI3068032OtherAETNA HMO EG
RI3068036OtherAETNA HMO COVENTRY
MAX11768OtherDENTAL BLUE
RI5876151OtherAETNA
RI8356-2OtherBLUE CROSS PAWTUCKET
RI200162OtherBUE CHIP
RI14548-4OtherUNITED HEALTH SENIOR CARE
RI3068040OtherAETNA HMO PAWT
RI2001471OtherDELTA DENTAL PAWTUCKET
RI8000026OtherUNITED HEALTH
RIT79227Medicare UPIN