Provider Demographics
NPI:1851024111
Name:RACCA, FRANCESCA
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:RACCA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9775 E JENNINGS DR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2723
Mailing Address - Country:US
Mailing Address - Phone:614-707-9340
Mailing Address - Fax:
Practice Address - Street 1:4944 SKYVIEW CT
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-7173
Practice Address - Country:US
Practice Address - Phone:231-946-2910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES.004523122300000X
MI29016027831223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist