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Dennis Dedecker, DDS,PC
Oral and Maxillofacial Surgery (Dentist) in Layton, Utah
NPI 1073516688

Dennis Dedecker is a Oral and Maxillofacial Surgery (Dentist) based in Kaysville, UT and is specialized in Oral and Maxillofacial Surgery. Dennis Dedecker practices in Layton, UT and has the professional credentials of DDS,PC. The NPI Number for Dennis Dedecker is 1073516688 and holds a License No. 1356659924 (Utah).

The current practice location address for Dennis Dedecker is 2185 N 1700 W, Layton, UT and can be reached out via phone at 801-773-9790 and via fax at 801-773-9792.

Location: 2185 N 1700 W, Layton, UT, 84037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073516688
Provider Name
Dennis Dedecker
Credential
DDS,PC
Provider Entity Type
Individual
Gender
Male
Address
2185 N 1700 W, Layton, UT, 84037
Phone Number
801-773-9790
Fax Number
801-773-9792
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000058020 01 UT MEDICARE GROUP
35697 01 UT DMBA PROVIDER #
43-00008 01 UT UNITEDHEALTH CARE (UHC) #
64163 01 UT PUBLIC EMPLOYEES (PEHP) #
107004925101 01 UT SELECTHEALTH #
190000851 01 UT RAILROAD MEDICARE #
190644 01 UT UNITED CONCORDIA #
870344080DE1 01 UT EDUCATORS MUTUAL #
institution
Provider Business Practice Location Address Details
Address
2185 N 1700 W
City
Layton
State
Utah
Zip
84041-1154
Phone Number
801-773-9790
Fax Number
801-773-9792
person
Provider Business Mailing Address Details
Address
2185 N 1700 W
City
Layton
State
Utah
Zip
84041-1154
Phone Number
801-773-9790
Fax Number
801-773-9792
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
1356659924 (Utah)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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