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Derek Funk, D.D.S
NPI 1558675512 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1345 E 3900 S
Suite 108
Salt Lake City, UT 84124 - Phone
- (801) 274-3768
- Fax
- (801) 273-9768
- Organisation at this address
- Legacy Dental
Garling Medical Pc
Daniel M Cohen Dmd Pc
Awaken And Bloom, Llc
Richard H Odell Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- UT, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-06-30
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