Healthcare Provider Details

I. General information

NPI: 1235390022
Provider Name (Legal Business Name): GRANT H FRANCIS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 W DEER FLAT RD
KUNA ID
83634-1266
US

IV. Provider business mailing address

855 W DEER FLAT RD
KUNA ID
83634-1266
US

V. Phone/Fax

Practice location:
  • Phone: 208-922-1919
  • Fax: 208-922-3567
Mailing address:
  • Phone: 208-922-1919
  • Fax: 208-922-3567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD3390
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: