EDDIE FADDIS, DDS, PC


Address: 533 W State Rd, Ste 202, Pleasant Grove, UT 84062-2114
Phone: 8017858835

EDDIE FADDIS, DDS, PC (NPI# 1770842593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770842593
Entity Type Organization
Organization Name EDDIE FADDIS, DDS, PC
Practice Address 533 W State Rd
Ste 202
Pleasant Grove
UT 84062-2114
Practice Telephone 8017858835
Practice Fax Number 8017859629
Mailing Telephone 8017858835
Mailing Fax Number 8017859629
Enumeration Date 2012-05-14
Last Update Date 2015-12-11
Authorized Official Name EDDIE FADDIS (PRESIDENT)
Authorized Official Telephone 8017858835
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
145625 UT Dental Providers

Office Location

Street Address 533 W STATE RD
STE 202
City PLEASANT GROVE
State UT
Zip Code 84062-2114

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144439191 Kenneth T. Usry Dentist 717 1st Ter, Pleasant Grove, AL 35127-1848 2007-05-22
1710195466 J Shane Roberts Dentist 904 4th St, Pleasant Grove, AL 35127-1059 2007-05-18
1326255993 Gavin Trevor Smith Dentist 60 E State Rd, Pleasant Grove, UT 84062-2637 2007-05-16
1548475551 Robert Reese Blackhurst Dentist 922 N 2000 W, Pleasant Grove, UT 84062-4047 2007-05-12
1023230570 Rod P. Maxfield Dentist 31 W. 100 So., Suite A, Pleasant Grove, UT 84062 2007-05-03
1912032251 William Fletcher Adamson Dentist 31 W 100 S Ste B, Pleasant Grove, UT 84062-2641 2007-02-23
1396886511 Eddie S. Faddis Dentist 533 W State Rd Ste 202, Pleasant Grove, UT 84062-2116 2007-02-09
1558420349 Arnoud Noot Dentist 1390 W State Rd, Suite 1, Pleasant Grove, UT 84062-4080 2006-12-07
1184792905 Aaron H Jones Dentist 597 South Pleasant Grove Boulevard, Suite 12, Pleasant Grove, UT 84062-2161 2006-12-01
1659465086 Steven F. Mciff Dentist 31 West 100 South, Suite C, Pleasant Grove, UT 84062-2641 2006-10-02
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Competitor

Search similar providers

City PLEASANT GROVE
Zip Code 84062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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