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Eddie S. Faddis, D.D.S.

NPI 1396886511ActiveIndividual· Dentist, General Practice· Pleasant Grove, UT

Dentist, General Practice (D.D.S.) in Pleasant Grove, Utah, licensed in UT, with an NPI issued in February 2007. Part D covered 28 prescriptions written in 2024, 100% of them generic.

Overview

NPI1396886511
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedFeb 9, 2007
Last updated in NPPESOct 28, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X145625UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dentist (UT)

Part D prescriptions in 2024

Prescriptions (claims)28 · 28 30-day fills
Patients19
Total drug cost$124.33
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist, General Practice providers in Pleasant Grove

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