Individual provider · Type 1 NPI

Dennis Dedecker, DDS, PC

Oral and Maxillofacial Surgery (Dentist) · Layton, UT

NPI number 1073516688 Active

Practice location

2185 N 1700 W, #204
Layton, UT 84041-1154

Fax (801) 773-9792

Mailing address

447 E 700 N Twin Creek Circle
Kaysville, UT 84037

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X1356659924 (UT)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1073516688

Dennis Dedecker, DDS, PC's National Provider Identifier is 1073516688, issued on May 27, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Layton, UT. The record was last updated on Apr 5, 2011.