Provider Demographics
NPI:1700063666
Name:CARLOS, FRANCISCO TOMAS (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:TOMAS
Last Name:CARLOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 E FRANKLIN ST
Mailing Address - Street 2:APT. 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7874
Mailing Address - Country:US
Mailing Address - Phone:860-833-3108
Mailing Address - Fax:
Practice Address - Street 1:520 NORTH 11TH ST
Practice Address - Street 2:300 WOOD BUILDING
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0566
Practice Address - Country:US
Practice Address - Phone:804-828-9356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0442000074390200000X
VA04014127151223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program