Dennis Dedecker, DDS, PC in Layton, UT - Medicare Dentist Provider

Dennis Dedecker, DDS, PC is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Layton, Utah. His current practice location is 2185 N 1700 W, #204, Layton, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 773-9790.

Dennis Dedecker is licensed to practice in Utah (license number 1356659924) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073516688.

Contact Information

	Dennis Dedecker, DDS, PC
	2185 N 1700 W, #204, Layton, UT 84041-1154
	(801) 773-9790
	(801) 773-9792

Map and Direction

Healthcare Provider's Profile

Full Name	Dennis Dedecker
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	2185 N 1700 W, Layton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073516688
Provider Enumeration Date: 05/27/2005
Last Update Date: 04/05/2011

Medicare PECOS Information:

PECOS PAC ID: 3678501921
Enrollment ID: I20050729000207

Medical Identifiers

Medical identifiers for Dennis Dedecker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073516688	NPI	-	NPPES
000058020	Other	UT	MEDICARE GROUP
35697	Other	UT	DMBA PROVIDER #
43-00008	Other	UT	UNITEDHEALTH CARE (UHC) #
64163	Other	UT	PUBLIC EMPLOYEES (PEHP) #
107004925101	Other	UT	SELECTHEALTH #
190000851	Other	UT	RAILROAD MEDICARE #
190644	Other	UT	UNITED CONCORDIA #
870344080DE1	Other	UT	EDUCATORS MUTUAL #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	1356659924 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dennis Dedecker allows following entities to bill medicare on his behalf.

Entity Name	Layton Oral Surgery Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770238016 PECOS PAC ID: 0244622538 Enrollment ID: O20220228001236

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dennis Dedecker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dennis Dedecker, DDS, PC 447 E 700 N Twin Creek Circle, Kaysville, UT 84037 Ph: (801) 544-2863	Dennis Dedecker, DDS, PC 2185 N 1700 W, #204, Layton, UT 84041-1154 Ph: (801) 773-9790

Reviews and Comments

Dentist in Layton, UT

Dr. Brad J Dawson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1597 Woodland Park Dr Ste 200, Layton, UT 84041 Phone: 801-544-1940 Fax: 801-896-0645
Darin Hartvigsen, Dentist Medicare: Medicare Enrolled Practice Location: 1492 W Antelope Dr, Layton, UT 84041 Phone: 801-776-6566
Dr. Andrew Rasmussen Mcfarland, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1482 N 160 W, Layton, UT 84041 Phone: 954-599-2931
Dr. Dayana Arreola, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 836 S Angel St Ste 100, Layton, UT 84041 Phone: 801-544-9777
Dr. Taylor James Metcalf, D.M.D, M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 984 N 3200 W, Layton, UT 84041 Phone: 801-547-8800
Glenn A. Zeh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1147 Rosewood Ln, Ste 1, Layton, UT 84041 Phone: 801-544-2256

Dennis Dedecker, DDS, PC - Medicare Dentist in Layton, UT