Individual provider · Type 1 NPI

Fred Arthur Diercks, DDS

Dentist · San Mateo, CA

NPI number 1215943071 Active

Practice location

320 N San Mateo Dr
San Mateo, CA 94401

Fax (650) 342-6003

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	18461 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1215943071

Fred Arthur Diercks, DDS's National Provider Identifier is 1215943071, issued on Aug 1, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Mateo, CA. The record was last updated on Jul 8, 2007.