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: July 19, 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 provider in San Mateo, California, licensed in California (18461) and active in the NPI registry since August 2006.Information from the official NPPES registry record, last updated July 8, 2007.

NPPES Registry Identity

NPI1215943071
Entity TypeIndividualMale
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
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. How NPI validation works

Primary Specialty

Dentist

Taxonomy 122300000X · Dental Providers

Licensed in CA · 18461

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… Show more

320 N SAN MATEO DR, San Mateo, CA 94401

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist
320 N SAN MATEO DR
SAN MATEO, CA 94401
Dentist (General Practice)
320 N SAN MATEO DR, STE. #1
SAN MATEO, CA 94401
Dentist (General Practice)
320 N SAN MATEO DR, STE. #1
SAN MATEO, CA 94401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215943071, enumerated as an "individual" on August 01, 2006.

The provider is located at 320 N SAN MATEO DR SAN MATEO, CA 94401 and the phone number is (650) 342-7401.

Dentist with taxonomy code 122300000X.