Fred William Luedtke, D.D.S.

General Practice Dentistry · Bountiful, UT

Individual Active NPI

NPI number 1073600854

Practice location

1260 S. 500 W.
Bountiful, UT 84010
Phone
(801) 294-6174

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NPI record

NPI
1073600854
Entity type
Individual (Type 1)
Enumeration date
October 5, 2006
Last updated
June 13, 2023
Certified
June 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 351483-9922 UT

About Dr. Luedtke

Fred William Luedtke, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1260 S. 500 W., Bountiful, UT 84010. The NPI number 1073600854 was assigned on October 5, 2006 and the record was last updated on June 13, 2023.

Dr. Luedtke lists a license in the registry: #351483-9922 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Fred William Luedtke, D.D.S.?

The NPI number is 1073600854.

What is the phone number of Dr. Luedtke?

The phone number listed for the practice location is (801) 294-6174.

Where is Dr. Luedtke located?

1260 S. 500 W., Bountiful, UT 84010.

What is the taxonomy code for Dr. Luedtke?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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