Provider Demographics
NPI:1366122046
Name:DAIGLE, FRANCESCA CLARICE (DDS)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:CLARICE
Last Name:DAIGLE
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 1:4936 BOB WILLS DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-5397
Mailing Address - Country:US
Mailing Address - Phone:817-683-4297
Mailing Address - Fax:
Practice Address - Street 1:3000 GASTON AVE.
Practice Address - Street 2:ENDODONTICS DEPARTMENT, 8TH FLOOR
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226
Practice Address - Country:US
Practice Address - Phone:817-683-4297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374700000X
TX39145122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No374700000XNursing Service Related ProvidersTechnician