Individual provider · Type 1 NPI
Evan Deuth Fiedler, DDS
General Practice Dentistry · Granville, IL
NPI number
1104054022
Active
Practice location
100 N Mccoy St
Granville, IL 61326-9329
Fax (815) 339-6738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019027937 (IL) |
General Practice Dentistry: 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.
2 other providers at this address
Other general practice dentistry providers in Granville
About NPI 1104054022
Evan Deuth Fiedler, DDS's National Provider Identifier is 1104054022, issued on Jun 30, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Granville, IL. The record was last updated on Mar 25, 2010.