Provider Demographics
| NPI: | 1538531777 |
|---|---|
| Name: | SCOTT H. FRANCIS, DDS |
| Entity type: | Organization |
| Organization Name: | SCOTT H. FRANCIS, DDS |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DENTIST |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | SCOTT |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FRANCIS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DDS |
| Authorized Official - Phone: | 757-851-3530 |
| Mailing Address - Street 1: | 2038 NICKERSON BLVD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HAMPTON |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 23663-1058 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 757-851-3530 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2038 NICKERSON BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | HAMPTON |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 23663-1058 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 757-851-3530 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | ATLANTIC DENTAL CARE, PLC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2015-10-27 |
| Last Update Date: | 2015-10-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| VA | 0401006682 | 122300000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 122300000X | Dental Providers | Dentist | Group - Multi-Specialty |