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DR. KELLY A FADDIS DDS
NPI 1003858432
Dentist - General Practice in Draper, UT

Active since June 11, 2006
11760 S 700 E, #110, DRAPER, UT 84020(801) 571-6688(801) 571-7787 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly A Faddis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY A FADDIS DDS (NPI 1003858432) is an individual general practice provider in Draper, Utah, licensed in Utah (144920-9922) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1003858432
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY A FADDISCredential: DDS
Location Address11760 S 700 E, #110Draper, UT 84020-6604
Mailing Address11760 S 700 E, #110Draper, UT 84020-6604 · (801) 571-6688 · Fax (801) 571-7787
Phone(801) 571-6688
Fax(801) 571-7787
Sole ProprietorYes
Enumeration DateJune 11, 2006
Last NPPES UpdateMay 31, 2011
✔ NPI 1003858432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 144920-9922
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.
11760 S 700 E, Draper, UT 84020
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Other Identifiers 1

Other87-0581297UT · Federal Id #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRECISION THERAPY INC.
Physical Medicine & Rehabilitation
11760 S 700 E, SUITE 112
DRAPER, UT 84020
Salt Lake County (801) 432-2200
DON H HANSEN MPT
Physical Therapist
11760 S 700 E, STE 211
DRAPER, UT 84020
Salt Lake County (801) 432-2200
DAMON L AGUIRRE PT
Physical Medicine & Rehabilitation
11760 S 700 E, SUITE 112
DRAPER, UT 84020
Salt Lake County (801) 432-2200
C.W. HARPER, INC.
Clinic/Center (Physical Therapy)
11760 S 700 E, SUITE 211
DRAPER, UT 84020
Salt Lake County (801) 456-9900
DON H. HANSEN PHYSICAL THERAPY, PC
Physical Therapist
11760 S 700 E, SUITE 112
DRAPER, UT 84020
Salt Lake County (801) 432-2200
CHRISTOPHER W HARPER PT, DPT, OCS
Physical Therapist
11760 S 700 E, SUITE 211
DRAPER, UT 84020
Salt Lake County (801) 456-9900
MATTHEW TODD ANDERSEN MD
Family Medicine
11760 S 700 E, STE 111
DRAPER, UT 84020
Salt Lake County (801) 576-8855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Faddis's NPI number?

The NPI number for Kelly Faddis is 1003858432. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Kelly Faddis located?

Kelly Faddis practices at 11760 S 700 E #110, Draper, UT 84020. The listed phone number is (801) 571-6688.

What is Kelly Faddis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kelly Faddis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list Kelly Faddis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Faddis was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.