Provider Demographics
NPI:1932213931
Name:FRANZONE, JOAN DIANE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:DIANE
Last Name:FRANZONE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JOAN
Other - Middle Name:DIANE
Other - Last Name:FERRARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:127 N OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-2022
Mailing Address - Country:US
Mailing Address - Phone:631-289-3226
Mailing Address - Fax:
Practice Address - Street 1:127 N OCEAN AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-2022
Practice Address - Country:US
Practice Address - Phone:631-289-3226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0442571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice