Healthcare Provider Details

I. General information

NPI: 1073952818
Provider Name (Legal Business Name): KARL M. FRANCIS, DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 06/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 WEST CENTER
SPANISH FORK UT
84660
US

IV. Provider business mailing address

375 WEST CENTER P.O. BOX 236
SPANISH FORK UT
84660
US

V. Phone/Fax

Practice location:
  • Phone: 801-798-8226
  • Fax: 801-798-6339
Mailing address:
  • Phone: 801-798-8226
  • Fax: 801-798-6339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number221343559921
License Number StateUT

VIII. Authorized Official

Name: DR. KARL M. FRANCIS
Title or Position: OWNER
Credential: D.D.S.
Phone: 801-798-8226