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DR. FRED ARTHUR DIERCKS DDS
NPI 1215943071
Dentist in San Mateo, CA

Active since August 01, 2006
320 N SAN MATEO DR, SAN MATEO, CA 94401(650) 342-7401(650) 342-6003 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Fred Arthur Diercks Dds NPPES

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

DR. FRED ARTHUR DIERCKS DDS (NPI 1215943071) is an individual dentist in San Mateo, California, licensed in California (18461) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215943071
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. FRED ARTHUR DIERCKSCredential: DDS
Location Address320 N SAN MATEO DRSan Mateo, CA 94401
Mailing Address320 N San Mateo DrSan Mateo, CA 94401 · (650) 342-7401 · Fax (650) 342-6003
Phone(650) 342-7401
Fax(650) 342-6003
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215943071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 18461
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
320 N SAN MATEO DR, San Mateo, CA 94401
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Other Providers at the Same Location NPPES 3

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

DR. PAUL ARTHUR DIERCKS DDS
Dentist
320 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 342-7401
TZE-FOUN TSIANG DDS,MSD
Dentist (General Practice)
320 N SAN MATEO DR, STE. #1
SAN MATEO, CA 94401
San Mateo County (650) 348-3328
LI-CHU CHEN DDS
Dentist (General Practice)
320 N SAN MATEO DR, STE. #1
SAN MATEO, CA 94401
San Mateo County (650) 348-3328

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 Fred Diercks's NPI number?

The NPI number for Fred Diercks is 1215943071. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Fred Diercks located?

Fred Diercks practices at 320 N San Mateo Dr, San Mateo, CA 94401. The listed phone number is (650) 342-7401.

What is Fred Diercks's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Fred Diercks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.