Dr. Kelly A Faddis is a Draper, Utah based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kelly A Faddis is 144920-9922 for General Practice Dentistry in Utah. His current practice location is 11760 S 700 E, #110, Draper. Patients can reach him at 801-571-6688.
Dr. Kelly A Faddis is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kelly A Faddis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kelly A Faddis
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
11760 S 700 E, #110, Draper, Utah, 84020-6604
Phone:
801-571-6688
Fax:
801-571-7787
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1003858432
NPI Enumeration Date:
11 Jun, 2006
NPI Last Update On:
31 May, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly A Faddis are as mentioned below.
License Number
Specialization
State
Status
144920-9922
General Practice Dentistry
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kelly A Faddis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
87-0581297
Other
Utah
FEDERAL ID #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11760 S 700 E, #110 Draper, Utah
Zip:
84020-6604
Phone Number:
801-571-6688
Fax Number:
801-571-7787
Patients can reach Dr. Kelly A Faddis at 11760 S 700 E, #110, Draper, Utah or can call to book an appointment on 801-571-6688. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.