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Dennis L Dedecker

  • Male

Medical Specialty

Professional ID

  • NPI: 1073516688
  • PECOS ID: 3678501921
  • Enrollment ID: I20050729000207
  • Credential(MD, DO, DPM): DDS
  • Medical School: Univ Of Calif San Francisco School Of Dentistry
  • Medical School Graduation Year: 1976

Medical Practices

  • Organization Name: Dr. Dennis Dedecker Dds Pc
  • Group Practice ID assigned by PECOS: 7416985767
  • Number of Group Practice member: 0

Location

  • Address1: 2185 N 1700 W
  • Address2: Suite 20
  • City: Layton
  • State: Utah
  • Zip Code: 84041
  • Phone Number: (801)773-9790

Medicare

  • Medicare Assignment: Maybe
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):