Provider Demographics
NPI:1922045509
Name:HADLEY, DALE C (DDS)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:C
Last Name:HADLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 E 400 S
Mailing Address - Street 2:STE #1
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-1980
Mailing Address - Country:US
Mailing Address - Phone:801-489-9456
Mailing Address - Fax:801-489-9839
Practice Address - Street 1:378 E 400 S
Practice Address - Street 2:STE #1
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-1980
Practice Address - Country:US
Practice Address - Phone:801-489-9456
Practice Address - Fax:801-489-9839
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT139994-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice