DR. TROY DENNIS DEDECKER DDS NPI 1265601314

NPI Information

DR. Troy Dennis Dedecker, DDS is a general practice dentist in Bountiful, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Troy Dennis Dedecker, DDS NPI is 1265601314. 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:

1480 SOUTH ORCHARD DRIVE
SUITE 110
BOUNTIFUL, UT
ZIP 84010-142
Phone: (801) 295-9500
Fax: (801) 295-5512

The NPI 1265601314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/22/2008 and was last updated on 2/22/2008.

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:

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