Provider Demographics
NPI:1174202436
Name:FRANA 2011
Entity type:Organization
Organization Name:FRANA 2011
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:912-695-6355
Mailing Address - Street 1:7347 10TH ST
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54482-9339
Mailing Address - Country:US
Mailing Address - Phone:191-269-5635
Mailing Address - Fax:
Practice Address - Street 1:1570 AMERICAN DR
Practice Address - Street 2:
Practice Address - City:PLOVER
Practice Address - State:WI
Practice Address - Zip Code:54467-3151
Practice Address - Country:US
Practice Address - Phone:715-341-7665
Practice Address - Fax:715-341-4776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty