DR. MICHAEL J FIDLER DDS NPI 1568468130

NPI Information

NPI: 1568468130
Provider Name: DR. MICHAEL J FIDLER, DDS
Classification: Dentist - 1223P0106X
Entity Type: Individual

Specialization: Oral and Maxillofacial Pathology

Address:
161 RIVERSIDE DR
STE 201
BINGHAMTON, NY
ZIP 13905
Phone: (607) 798-7169
Get Directions

DR. Michael J Fidler, DDS is an oral and maxillofacial pathology dentist in Binghamton, NY. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. DR. Michael J Fidler, DDS NPI is 1568468130. 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:

161 RIVERSIDE DR
STE 201
BINGHAMTON, NY
ZIP 13905-178
Phone: (607) 798-7169
Fax: (607) 798-9204

The enumeration date for this NPI number is 6/28/2005 and was last updated on 7/8/2007.

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	1223P0106X	Dentist	Oral and Maxillofacial Pathology	030712	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00554912	MEDICAID	NEW YORK
2	30173B	MEDICARE UPIN	NEW YORK

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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