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Dr. Kenneth Douglas Fryer, DDS,MS
Pediatric Dentist in Logan, Utah
NPI 1174744585

Kenneth Douglas Fryer is a Pediatric Dentist based in Logan, UT and is specialized in Pediatric Dentistry. Kenneth Douglas Fryer practices in Logan, UT and has the professional credentials of DDS,MS. The NPI Number for Kenneth Douglas Fryer is 1174744585 and holds a License No. 285140-9923 (Utah).

The current practice location address for Kenneth Douglas Fryer is 211 E 1250 N Ste 110, Logan, UT and can be reached out via phone at 435-792-3033 and via fax at 435-792-3233.

Location: 211 E 1250 N Ste 110, Logan, UT, 84341-2480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174744585
Provider Name
Kenneth Douglas Fryer
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
211 E 1250 N Ste 110, Logan, UT, 84341-2480
Phone Number
435-792-3033
Fax Number
435-792-3233
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
211 E 1250 N Ste 110
City
Logan
State
Utah
Zip
84341-2480
Phone Number
435-792-3033
Fax Number
435-792-3233
person
Provider Business Mailing Address Details
Address
211 E 1250 N Ste 110
City
Logan
State
Utah
Zip
84341-2480
Phone Number
435-792-3033
Fax Number
435-792-3233
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
285140-9923 (Utah)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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