NPI 1073516688

Dennis Dedecker, DDSPC

Practitioner Oral and Maxillofacial Surgery (Dentist) Layton, UT

Practice location

Address: 2185 N 1700 W #204, Layton, UT 84041-1154
Phone: (801) 773-9790
Fax: (801) 773-9792
Mailing address: 447 E 700 N Twin Creek Circle, Kaysville, UT 84037

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 1356659924 (UT)

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Registry record

NPI: 1073516688
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2005
Record last updated: 5 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.