Dutson, Derek J

Dutson, Derek J is an individual health care provider with primary practice located at 90 Hope Dr , Mountain Home Afb ID 83648. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Dutson, Derek J can be contacted via phone (208) 828-7300.

Contact Information

Primary practice address
90 Hope Dr Mountain Home Afb ID 83648
Phone: (208) 828-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10337490-9922 Utah
Dental Providers / Dentist 122300000X 10337490-9922 Utah

Profile Details

NPI number 1548796527
LBN Legal business name Dutson, Derek J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Aug 27th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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