Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY A FADDIS, DDS
Active Sole ProprietorGeneral Dentistry · DRAPER, UT
Registration Details
- NPI Number
- 1003858432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2006 (19.888850265225 yrs)
- Last Updated
- May 31, 2011
- License
-
144920-9922 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11760 S 700 E#110DRAPER, UT, 840206604Browse UT providers · Browse ZIP 84020
- Phone
- 8015716688
- Fax
- 8015717787
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in DRAPER, UT
| Name | Credential | NPI |
|---|---|---|
| DEVIN CHRISTENSEN | D.D.S. | 1144267436 |
| DR. DEAN E JARMAN | DDS | 1952343360 |
| DR. AARON C HALL | DMD | 1942233812 |
| DR. DAVID NEPHI REYNOLDS | D.D.S. | 1932216595 |
| DR. KARL KOERNER | DDS, MS | 1073606836 |
| DR. TONY MERRILL JENSEN | D.D.S. | 1366516791 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.