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NPI Code Detail

MEDICARE: DAVID J HADLEY DMD

MEDICARE: DAVID J HADLEY DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist296065-9922UT

General Provider Information

NPI Number : 1396844049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID J HADLEY DMD
Provider Business Mailing Address
First Line : 660 S 200 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-3835
Country : US
Telephone Number : 801-365-2256
Fax Number :
Provider Business Practice Location Address
First Line : 660 S 200 E STE 250
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-3846
Country : US
Telephone Number : 801-359-2256
Fax Number : 801-364-4392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/19/2013

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Directions to “ DAVID J HADLEY DMD” Practice Location

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