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Mr. Daryl Alvan Fedak
General Practice Dentistry in Springfield, Oregon
NPI 1033117288

Daryl Alvan Fedak is a General Practice Dentistry based in Springfield, OR and is specialized in General Practice. Daryl Alvan Fedak practices in Springfield, OR. The NPI Number for Daryl Alvan Fedak is 1033117288 and holds a License No. D7742 (Oregon).

The current practice location address for Daryl Alvan Fedak is 5892 Main St, Springfield, OR and can be reached out via phone at 541-741-7800 and via fax at 541-741-7888.

Location: 5892 Main St, Springfield, OR, 97478-5496
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033117288
Provider Name
Daryl Alvan Fedak
Credential
Provider Entity Type
Individual
Gender
Male
Address
5892 Main St, Springfield, OR, 97478-5496
Phone Number
541-741-7800
Fax Number
541-741-7888
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7696119 01 AETNA
1407366 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
5892 Main St
City
Springfield
State
Oregon
Zip
97478-5496
Phone Number
541-741-7800
Fax Number
541-741-7888
person
Provider Business Mailing Address Details
Address
5892 Main St
City
Springfield
State
Oregon
Zip
97478-5496
Phone Number
541-741-7800
Fax Number
541-741-7888
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D7742 (Oregon)
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.
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