Healthcare Provider Details

I. General information

NPI: 1497689855
Provider Name (Legal Business Name): KAITRYN FRANZMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 W 3RD ST
DAYTON OH
45428-9000
US

IV. Provider business mailing address

6845 GRENOBLE DR APT F
CENTERVILLE OH
45459-6089
US

V. Phone/Fax

Practice location:
  • Phone: 937-268-6511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028536
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: