Dr. Troy Dennis Dedecker, DDS
Dentist, General Practice in Bountiful, UT. Individual provider (NPI-1).
NPI number1265601314
StatusActive
Last updated in NPPESFeb 22, 2008
Details
- NPI
- 1265601314
- Entity type
- Individual (NPI-1)
- Name
- Dr. Troy Dennis Dedecker
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2008
- Last updated
- Feb 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6672756-9921 | UT | Yes |
Practice location
1480 South Orchard DriveSuite 110
Bountiful, UT 84010-5142
Phone 801-295-9500 · Fax 801-295-5512
Mailing address
1480 South Orchard DriveSuite 110
Bountiful, UT 84010-5142
Phone 801-295-9500 · Fax 801-295-5512
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