Provider Demographics
NPI:1770076507
Name:FRANCESCHI, LUIS (DMD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:
Last Name:FRANCESCHI
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 1:7750 BELFORT PKWY APT 112
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6987
Mailing Address - Country:US
Mailing Address - Phone:786-334-8418
Mailing Address - Fax:
Practice Address - Street 1:555 N CONGRESS AVE STE 303
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3469
Practice Address - Country:US
Practice Address - Phone:786-334-8418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN23416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist