Kelly Faddis, DDS

NPI 1003858432 · on the registry since 2006 · sole proprietor

Practice

Address: 11760 S 700 E
#110
Draper, UT 84020
Phone: (801) 571-6688
Fax: (801) 571-7787
Organisation at this address: C.W. Harper, Inc.
David B Jack Md Pc
Robert L Orme, Md Pc
Chase Judd, Dds, Pllc
Precision Therapy Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah