DR. EVAN DEUTH FIEDLER D.D.S.
NPI 1104054022
Dentist - General Practice in Granville, IL

Q: What is Evan Fiedler's NPI number?

The NPI number for Evan Fiedler is 1104054022. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Q: What is Evan Fiedler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Evan Fiedler was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2009

100 N MCCOY ST, GRANVILLE, IL 61326(815) 339-6888(815) 339-6738 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Evan Deuth Fiedler D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVAN DEUTH FIEDLER D.D.S. (NPI 1104054022) is an individual general practice provider in Granville, Illinois, licensed in Illinois (019027937) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1104054022

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. EVAN DEUTH FIEDLERCredential: D.D.S.

Location Address100 N MCCOY STGranville, IL 61326-9329

Mailing Address100 N Mccoy St, P.o. Box 597Granville, IL 61326-9329 · (815) 339-6888 · Fax (815) 339-6738

Phone(815) 339-6888

Fax(815) 339-6738

Sole ProprietorNo

Enumeration DateJune 30, 2009

Last NPPES UpdateMarch 25, 2010

✔ NPI 1104054022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019027937

Definition

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.

100 N MCCOY ST, Granville, IL 61326

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT BRUCE DAWE D.D.S.

Dentist (General Practice)

100 N MCCOY ST
GRANVILLE, IL 61326

Putnam County (815) 339-6888

GRANVILLE DENTAL, LLC

Dentist

100 N MCCOY ST
GRANVILLE, IL 61326

Putnam County (815) 339-6888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Fiedler's NPI number?

The NPI number for Evan Fiedler is 1104054022. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Evan Fiedler located?

Evan Fiedler practices at 100 N Mccoy St, Granville, IL 61326. The listed phone number is (815) 339-6888.

What is Evan Fiedler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Evan Fiedler accept?

Health plans from Blue Cross and Blue Shield of Alabama list Evan Fiedler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Fiedler was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.