ETHAN DUEWER, DMD
Dentist
Active
Individual
NPI: 1972023117
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 019.031206 (IL) |
| Dentist | 122300000X | Yes | 019.031206 (IL) |
Frequently Asked Questions
NPI 1972023117 is the National Provider Identifier for ETHAN DUEWER, DMD, a Dentist provider located in Springfield, IL. This NPI was enumerated on June 20, 2017.
ETHAN DUEWER, DMD practices at 1140 RICKARD RD STE 1, Springfield, IL 62704.
Quick Facts
- NPI
- 1972023117
- Type
- Individual
- Enumerated
- Jun 20, 2017
- Last Updated
- Jan 18, 2022
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MR. STEPHEN STONE, M.D.
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MR. ROBERT BUZZELL, M.D.
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