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Dr. Kelly A Faddis, DDS
General Practice Dentistry in Draper, Utah
NPI 1003858432

Kelly A Faddis is a General Practice Dentistry based in Draper, UT and is specialized in General Practice. Kelly A Faddis practices in Draper, UT and has the professional credentials of DDS. The NPI Number for Kelly A Faddis is 1003858432 and holds a License No. 144920-9922 (Utah).

The current practice location address for Kelly A Faddis is 11760 S 700 E, Draper, UT and can be reached out via phone at 801-571-6688 and via fax at 801-571-7787.

Location: 11760 S 700 E, Draper, UT, 84020-6604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003858432
Provider Name
Kelly A Faddis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11760 S 700 E, Draper, UT, 84020-6604
Phone Number
801-571-6688
Fax Number
801-571-7787
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-0581297 01 UT FEDERAL ID #
institution
Provider Business Practice Location Address Details
Address
11760 S 700 E
City
Draper
State
Utah
Zip
84020-6604
Phone Number
801-571-6688
Fax Number
801-571-7787
person
Provider Business Mailing Address Details
Address
11760 S 700 E
City
Draper
State
Utah
Zip
84020-6604
Phone Number
801-571-6688
Fax Number
801-571-7787
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
144920-9922 (Utah)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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