DR. KELLY A FADDIS (DDS) – General Practice Dentistry, NPI 1003858432

DR. KELLY A FADDIS (DDS) is a healthcare provider. based in Draper, Utah. specializing in General Practice Dentistry. They hold the professional credentials DDS. They hold a License No. 144920-9922 (UT). The NPI Number for DR. KELLY A FADDIS (DDS) is 1003858432

Main info

Male
Sole Proprietor
Name
DR. KELLY A FADDIS (DDS)
NPI
1003858432
Phone
(801) 571-6688
Address
11760 S 700 E
Enumeration Date
11 June 2006
Last Update Date
31 May 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KELLY A FADDIS (DDS)

  • South Avenue East, Rickman Acres, Draper, Draper Village, Rockingham County, North Carolina, 27288, United States

    #110

    DRAPER, UT 840206604

    Phone: (801) 571-6688

    Fax: (801) 571-7787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84020)

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Reviews

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Frequently asked questions

Can I cross-check DR. KELLY A FADDIS (DDS) using NPI 1003858432?
NPI 1003858432 belongs to DR. KELLY A FADDIS (DDS); compare other details if you need extra assurance.
Would DR. KELLY A FADDIS (DDS) appear as active to a payer?
You can treat DR. KELLY A FADDIS (DDS) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. KELLY A FADDIS (DDS)'s focus?
For DR. KELLY A FADDIS (DDS), the primary taxonomy reads as General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KELLY A FADDIS (DDS)?
Travel planning: use Draper, Utah as the reference point for DR. KELLY A FADDIS (DDS), then confirm.
Can I trust this NPI listing for DR. KELLY A FADDIS (DDS)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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