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BENJAMIN T DEDRICKSON PA-C
NPI 1710496047
Physician Assistant in Layton, UT

Active since September 29, 2017
1580 W ANTELOPE DR STE 110, LAYTON, UT 84041(801) 807-7699 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Apr 16, 2019 (2 updates tracked since 2019).

About Benjamin T Dedrickson Pa-c NPPES

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

BENJAMIN T DEDRICKSON PA-C (NPI 1710496047) is an individual physician assistant in Layton, Utah, licensed in Utah (10982649-1206) and active in the NPI registry since September 2017. He maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1710496047
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN T DEDRICKSONCredential: PA-C
Location Address1580 W ANTELOPE DR STE 110Layton, UT 84041-1153
Mailing Address1489 S Higley Rd Ste 101Gilbert, AZ 85296-4777 · (480) 457-8800
Phone(801) 807-7699
Sole ProprietorNo
Enumeration DateSeptember 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1710496047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 10982649-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 6854 (AZ)
1580 W ANTELOPE DR STE 110, Layton, UT 84041
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Secondary Practice Location 1

Location 11489 S Higley Rd Ste 101Gilbert, AZ 85296-4777 · Phone (480) 457-8800 · Fax (480) 457-8885

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 Benjamin Dedrickson's NPI number?

The NPI number for Benjamin Dedrickson is 1710496047. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Benjamin Dedrickson located?

Benjamin Dedrickson practices at 1580 W Antelope Dr Ste 110, Layton, UT 84041. The listed phone number is (801) 807-7699.

What is Benjamin Dedrickson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Dedrickson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.