Individual
DR. TROY DENNIS DEDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1480 SOUTH ORCHARD DRIVE, SUITE 110, BOUNTIFUL, UT 84010-5142
(801) 295-9500
(801) 295-5512
Mailing address
1480 SOUTH ORCHARD DRIVE, SUITE 110, BOUNTIFUL, UT 84010-5142
(801) 295-9500
(801) 295-5512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6672756-9921
UT
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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