Individual
SHAWN FRANCIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 PORTION RD STE 16, RONKONKOMA, NY 11779-4587
(631) 451-7700
Mailing address
256 VILLAGE GRN, PATCHOGUE, NY 11772-3083
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
058670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04530636
—
NY
Enumeration date
03/10/2015
Last updated
03/17/2018
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