Provider Demographics
NPI:1982247102
Name:FRANCESCHI, THEBIS A (DMD)
Entity Type:Individual
Prefix:DR
First Name:THEBIS
Middle Name:A
Last Name:FRANCESCHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 DELMAR WAY APT 116
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3366
Mailing Address - Country:US
Mailing Address - Phone:786-317-2622
Mailing Address - Fax:
Practice Address - Street 1:813 DELMAR WAY APT 116
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3366
Practice Address - Country:US
Practice Address - Phone:786-334-8418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN227541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics