Jack M. Fiedler, D.D.S.,P.a.
Organization Active NPI General Practice Dentistry · Hector, MN
NPI 1982908000 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1982908000
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D12373 (MN)
- Legal business name
- JACK M. FIEDLER, D.D.S.,P.A.
- Practice address
- 150 Greenwood Ave W
Box 547
Hector, MN 55342 - Phone
- (320) 848-2611
- Fax
- (320) 848-2611
- NPI assigned
- Jan 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Jack M. Fiedler, D.D.S.
- Title
- Owner
- Phone
- (320) 848-2611
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D12373 | MN | Yes |
Addresses
Primary practice location
150 Greenwood Ave W
Box 547
Hector, MN 55342
Mailing address
150 Greenwood Ave W
Box 547
Hector, MN 55342
Phone (320) 848-2611
Other names
- d/b/a Esthetic Family Dentistry
Other providers in Hector, MN
- Esthetic Family Dentistry PC
- Jack Michael Fiedler
- Healthpartners RC
- Paige Hofstad
- Home Care on Birch, LLC
- Daniel H Menser
- Prairie View of Hector
- Renville Health Services
- Zulma Janet Rodriguez-Amaya
- Westfield Dental Sleep Medicine PA
All providers in Hector, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.