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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FRED M FITZPATRICK, D.D.S.

Active Sole Proprietor

DR. FRED M FITZPATRICK, D.D.S. is a Pediatric Dentistry healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1063526796 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · CRYSTAL LAKE, IL

Registration Details

NPI Number
1063526796
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2006 (19.94926066418 yrs)
Last Updated
Jul 8, 2007
License
A13595 (IL)
Sole Proprietor
Yes

Practice Information

Address
690 N IL ROUTE 31
CRYSTAL LAKE, IL, 600123790
Browse IL providers · Browse ZIP 60012
Phone
8154592727
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in CRYSTAL LAKE, IL

Name Credential NPI
DR. KATHLEEN ANN SCHROEDER DDS 1285732438
DR. TONY LOUIS MINUTILLO D.D.S., M.S.D. 1427212018
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.