institution
Dennis L Dedecker Dds Pc
Oral and Maxillofacial Surgery (Dentist) in Layton, Utah
NPI 1578748190

Dennis L Dedecker Dds Pc is a Oral and Maxillofacial Surgery (Dentist) based in Layton, UT and is specialized in Oral and Maxillofacial Surgery. Dennis L Dedecker Dds Pc practices in Layton, UT. The NPI Number for Dennis L Dedecker Dds Pc is 1578748190 and holds a License No. 135665 9924 (Utah).

The current practice location address for Dennis L Dedecker Dds Pc 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, 84041-1192
institution
Provider Profile Details
NPI Number
1578748190
Provider Name
Dennis L Dedecker Dds Pc
Credential
Provider Entity Type
Organization
Address
2185 N 1700 W, Layton, UT, 84041-1192
Phone Number
801-773-9790
Fax Number
801-773-9792
Provider Enumeration Date
01/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107004925101 01 UT SELECTHEALTH
190000851 01 UT RAILROAD MEDICARE
000002181 01 UT MEDICARE PROVIDER#
52970991500001 01 UT BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
2185 N 1700 W
City
State
Zip
84041-1192
Phone Number
801-773-9790
Fax Number
801-773-9792
person
Provider Business Mailing Address Details
Address
2185 N 1700 W
City
State
Zip
84041-1192
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
License No.
135665 9924 (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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