DR. KENNETH DOUGLAS FRYER D.D.S. M.S. NPI 1174744585

NPI Information

  • NPI: 1174744585
  • Provider Name: DR. KENNETH DOUGLAS FRYER, D.D.S., M.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 211 E 1250 N STE 110
    LOGAN, UT
    ZIP 84341
  • Phone: (435) 792-3033

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NPI Details

DR. Kenneth Douglas Fryer, D.D.S., M.S. is a pediatric dentistry dentist in Logan, UT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Kenneth Douglas Fryer, D.D.S., M.S. NPI is 1174744585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

211 E 1250 N STE 110
LOGAN, UT
ZIP 84341-480
Phone: (435) 792-3033
Fax: (435) 792-3233

The enumeration date for this NPI number is 5/1/2007 and was last updated on 4/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry285140-9923UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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