Provider Demographics
NPI:1972559953
Name:SPRINGVILLE DENTISTRY
Entity Type:Organization
Organization Name:SPRINGVILLE DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-489-9456
Mailing Address - Street 1:378 E 400 S
Mailing Address - Street 2:STE #1
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-1980
Mailing Address - Country:US
Mailing Address - Phone:801-489-9456
Mailing Address - Fax:801-489-9839
Practice Address - Street 1:378 E 400 S
Practice Address - Street 2:STE #1
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-1980
Practice Address - Country:US
Practice Address - Phone:801-489-9456
Practice Address - Fax:801-489-9839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT294215-99231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty