| Eddie Faddis, Dds, Pc | |
|
533 W State Rd Ste 202 Pleasant Grove UT 84062-2114 | |
| (801) 785-8835 | |
| (801) 785-9629 |
| Full Name | Eddie Faddis, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 533 W State Rd, Pleasant Grove, Utah |
| Authorized Official Name and Position | Eddie Faddis (PRESIDENT) |
| Authorized Official Contact | 8017858835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eddie Faddis, Dds, Pc 533 W State Rd Ste 202 Pleasant Grove UT 84062-2114 Ph: (801) 785-8835 | Eddie Faddis, Dds, Pc 533 W State Rd Ste 202 Pleasant Grove UT 84062-2114 Ph: (801) 785-8835 |
| NPI Number | 1770842593 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 12/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770842593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 145625 (Utah) | Primary |
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