Fiersten, Fredric Ross
Fiersten, Fredric Ross is an individual health care provider with primary practice located at 997 Clock Tower Dr , Springfield IL 62704-1301. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fiersten, Fredric Ross can be contacted via phone (217) 787-2547.Contact Information
Primary practice address
997 Clock Tower Dr
Springfield IL 62704-1301
Phone: (217) 787-2547
Fax: (217) 787-1757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19A13816 | Illinois |
Profile Details
| NPI number | 1154548584 |
|---|---|
| LBN Legal business name | Fiersten, Fredric Ross |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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