Dedecker, Dennis

Dedecker, Dennis is an sole proprietor health care provider with primary practice located at 2185 N 1700 W #204, Layton UT 84041-1154. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dedecker, Dennis can be contacted via phone (801) 773-9790.

Contact Information

Primary practice address
2185 N 1700 W #204 Layton UT 84041-1154
Phone: (801) 773-9790
Fax: (801) 773-9792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1356659924 Utah

Profile Details

NPI number 1073516688
LBN Legal business name Dedecker, Dennis
Credentials DDS, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Apr 5th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073516688 NPPES
Utah Other 000058020 MEDICARE GROUP
Utah Other 35697 MEDICARE GROUP
Utah Other 43-00008 MEDICARE GROUP
Utah Other 64163 MEDICARE GROUP
Utah Other 107004925101 MEDICARE GROUP
Utah Other 190000851 MEDICARE GROUP
Utah Other 190644 MEDICARE GROUP
Utah Other 870344080DE1 MEDICARE GROUP

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