Provider Demographics
NPI:1053418046
Name:MARTIN, FRANCESCA JEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANCESCA
Middle Name:JEAN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 DELAFIELD ST
Mailing Address - Street 2:#319
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-3407
Mailing Address - Country:US
Mailing Address - Phone:262-549-3641
Mailing Address - Fax:262-549-5311
Practice Address - Street 1:1111 DELAFIELD ST
Practice Address - Street 2:#319
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3407
Practice Address - Country:US
Practice Address - Phone:262-549-3641
Practice Address - Fax:262-549-5311
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2410-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice