| Dr Kelly A Faddis, DDS | |
|
11760 S 700 E, #110, Draper, UT 84020-6604 | |
| (801) 571-6688 | |
| (801) 571-7787 |
| Full Name | Dr Kelly A Faddis |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 11760 S 700 E, Draper, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003858432 | NPI | - | NPPES |
| 87-0581297 | Other | UT | FEDERAL ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 144920-9922 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly A Faddis, DDS 11760 S 700 E, #110, Draper, UT 84020-6604 Ph: (801) 571-6688 | Dr Kelly A Faddis, DDS 11760 S 700 E, #110, Draper, UT 84020-6604 Ph: (801) 571-6688 |
Dr. Chase Larsen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 723 E 12200 S Ste 101, Draper, UT 84020 Phone: 801-683-5239 | |
Marshall Hanson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 949 E 12400 S Ste A2, Draper, UT 84020 Phone: 801-571-6541 | |
Dr. Tami Hiromasa Fessenden, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11576 S State St, Suite 1201, Draper, UT 84020 Phone: 801-716-7006 | |
Dr. Jacob S Dunn, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12180 S 300 E Unit 656, Draper, UT 84020 Phone: 702-483-8664 | |
Dr. Karl Koerner, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 361 Haven Crest Rd, Draper, UT 84020 Phone: 801-502-8585 Fax: 801-501-8307 | |
Devin Christensen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 114 E 12450 S, Suite 102, Draper, UT 84020 Phone: 801-576-1100 |