DR. EVAN DEUTH FIEDLER D.D.S. NPI 1104054022

NPI Information

NPI: 1104054022
Provider Name: DR. EVAN DEUTH FIEDLER, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
100 N MCCOY ST
GRANVILLE, IL
ZIP 61326
Phone: (815) 339-6888
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DR. Evan Deuth Fiedler, D.D.S. is a general practice dentist in Granville, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Evan Deuth Fiedler, D.D.S. NPI is 1104054022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N MCCOY ST
GRANVILLE, IL
ZIP 61326-329
Phone: (815) 339-6888
Fax: (815) 339-6738

The enumeration date for this NPI number is 6/30/2009 and was last updated on 3/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019027937	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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