Individual provider · Type 1 NPI
Kenneth Douglas Fryer, DDS, M.S.
Pediatric Dentistry · Logan, UT
NPI number
1174744585
Active
Practice location
211 E 1250 N Ste 110
Logan, UT 84341-2480
Fax (435) 792-3233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 285140-9923 (UT) |
Pediatric Dentistry: 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.
Other pediatric dentistry providers in Logan
About NPI 1174744585
Kenneth Douglas Fryer, DDS, M.S.'s National Provider Identifier is 1174744585, issued on May 1, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Logan, UT. The record was last updated on Apr 10, 2018.