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Dr. Brian Kelly Hutto, DMD
Oral and Maxillofacial Surgery (Dentist) in Modesto, California
NPI 1568654986

Brian Kelly Hutto is a Oral and Maxillofacial Surgery (Dentist) based in Modesto, CA and is specialized in Oral and Maxillofacial Surgery. Brian Kelly Hutto practices in Modesto, CA and has the professional credentials of DMD. The NPI Number for Brian Kelly Hutto is 1568654986 and holds a License No. 12798 (California).

The current practice location address for Brian Kelly Hutto is 2301 St Pauls Way, Modesto, CA and can be reached out via phone at 209-522-5238 and via fax at 209-522-4703. You can also correspond with Brian Kelly Hutto through the mailing address at 2301 ST PAULS WAY, MODESTO, CA - 95355-3309 (mailing address contact number: 209-522-5238).

Location: 2301 St Pauls Way, Modesto, CA, 95355-3309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568654986
Provider Name
Brian Kelly Hutto
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2301 St Pauls Way, Modesto, CA, 95355-3309
Phone Number
209-522-5238
Fax Number
209-522-4703
Provider Enumeration Date
08/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2301 St Pauls Way
City
Modesto
State
California
Zip
95355-3309
Phone Number
209-522-5238
Fax Number
209-522-4703
person
Provider Business Mailing Address Details
Address
2301 St Pauls Way
City
Modesto
State
California
Zip
95355-3309
Phone Number
209-522-5238
Fax Number
209-522-4703
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12798 (Maryland)
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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