Provider Demographics
NPI:1174695209
Name:FRANCIS, WILLIAM W (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:W
Last Name:FRANCIS
Suffix:
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 1:27500 DETROIT RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5915
Mailing Address - Country:US
Mailing Address - Phone:440-892-8655
Mailing Address - Fax:440-808-2139
Practice Address - Street 1:27500 DETROIT RD
Practice Address - Street 2:SUITE 104
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5915
Practice Address - Country:US
Practice Address - Phone:440-892-8655
Practice Address - Fax:440-808-2139
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH170251223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0632695Medicaid
T48554Medicare UPIN
FR0596151Medicare ID - Type Unspecified