Basic Information
Provider Information
NPI: 1932231305
EntityType: 2
ReplacementNPI:  
OrganizationName: FRANCIS L. KACH, D.D.S., P.C.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 123 CENTRAL ST
Address2:  
City: AUBURN
State: MA
PostalCode: 015012342
CountryCode: US
TelephoneNumber: 5088322171
FaxNumber: 5088326697
Practice Location
Address1: 123 CENTRAL ST
Address2:  
City: AUBURN
State: MA
PostalCode: 015012342
CountryCode: US
TelephoneNumber: 5088322171
FaxNumber: 5088326697
Other Information
ProviderEnumerationDate: 03/12/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KACH
AuthorizedOfficialFirstName: FRANCIS
AuthorizedOfficialMiddleName: L.
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 5088322171
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: D.D.S.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223G0001X14631MAY193400000X SINGLE SPECIALTY GROUPDental ProvidersDentistGeneral Practice

No ID Information.


Home