Healthcare Provider Details

I. General information

NPI: 1386602183
Provider Name (Legal Business Name): KARL M. FRANCIS D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 W CENTER ST
SPANISH FORK UT
84660-2024
US

IV. Provider business mailing address

PO BOX 236
SPANISH FORK UT
84660-0236
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:
Title or Position:
Credential:
Phone: