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ETHAN DUEWER DMD
NPI 1972023117
Dentist in Springfield, IL

Active since June 20, 2017
1140 RICKARD RD STE 1, SPRINGFIELD, IL 62704(217) 787-3096 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2022, Mar 17, 2018, Feb 12, 2018 and 1 more (4 updates tracked since 2017).

About Ethan Duewer Dmd NPPES

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

ETHAN DUEWER DMD (NPI 1972023117) is an individual dentist in Springfield, Illinois, licensed in Illinois (019.031206) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1972023117
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameETHAN DUEWERCredential: DMD
Location Address1140 RICKARD RD STE 1Springfield, IL 62704-6385
Mailing Address1140 Rickard Rd Ste 1Springfield, IL 62704-6385
Phone(217) 787-3096
Sole ProprietorNo
Enumeration DateJune 20, 2017
Last NPPES UpdateJanuary 18, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1972023117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.031206
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019.031206 (IL)
1140 RICKARD RD STE 1, Springfield, IL 62704
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Other Providers at the Same Location NPPES

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

RICKARD ROAD DENTAL GROUP
Clinic/Center (Dental)
1140 RICKARD RD STE 1
SPRINGFIELD, IL 62704
Sangamon County (217) 787-3096

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 Ethan Duewer's NPI number?

The NPI number for Ethan Duewer is 1972023117. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Ethan Duewer located?

Ethan Duewer practices at 1140 Rickard Rd Ste 1, Springfield, IL 62704. The listed phone number is (217) 787-3096.

What is Ethan Duewer'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 Ethan Duewer was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.