Provider Demographics
NPI:1669430229
Name:FRANCIS, PAUL OLSEN (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:OLSEN
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 NORTH RUNNING CREEK WAY
Mailing Address - Street 2:BUILDING C SUITE 300
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84303
Mailing Address - Country:US
Mailing Address - Phone:801-766-6966
Mailing Address - Fax:
Practice Address - Street 1:3300 NORTH RUNNING CREEK WAY
Practice Address - Street 2:BUILDING C SUITE 300
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84303
Practice Address - Country:US
Practice Address - Phone:801-885-5216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5872229-99231223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics