Fettig and Drake DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FETTIG AND DRAKE DDS PC

Practice address

1409 6TH Ave SE Ste 8
Aberdeen, SD 57401-4950

Phone

(605) 225-2236

NPI assigned

Aug 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valerie Drake, DDS

Title

Director

Phone

(956) 428-3300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1346794153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507384",
            "telephone_number": "956-428-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 8",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-225-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTIG AND DRAKE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-428-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Lynn Fastenau, NP
• Beenish Fayyaz, MD
• Amy J Fedoruk, SLP
• Angel Feiock, LPC, LPC-MH
• Jerold P Feist, LPCMH
• Aleaha Fettig Ledeboer, DDS
• Nancy E Fidler, LCSW
• Filmore Foundation LLC
• David Fischer, CRNA
• Jodi H Fischer, PHARMD

• General Practice Dentistry in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.