Diederich Dmd, Pllc

NPI #1417839515 in Draper, Utah

Provider Information

NPI Number: 1417839515
Entity Type: Organization
Organization Name: Diederich Dmd, Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 22, 2025
Last Updated: Jul 22, 2025

Practice Location

Address: 668 E 12225 S STE 101
City: Draper
State: Utah
ZIP Code: 84020-7310
Phone: (801) 762-8920

Authorized Official

Name: DR. NIK DIEDERICH, DMD
Title: OWNER
Phone: (801) 931-8322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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