Provider Demographics
NPI:1679796049
Name:FRANQUEMONT, MICHAEL JAMES (DDS)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JAMES
Last Name:FRANQUEMONT
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 1:6650 S VINE ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2769
Mailing Address - Country:US
Mailing Address - Phone:303-795-0066
Mailing Address - Fax:303-794-2370
Practice Address - Street 1:6650 S VINE ST
Practice Address - Street 2:SUITE 260
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-2769
Practice Address - Country:US
Practice Address - Phone:303-795-0066
Practice Address - Fax:303-794-2370
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO88721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice