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

DR. MATTHEW KONRAD DIETZ, D.M..D.,M.S.

Active

DR. MATTHEW KONRAD DIETZ, D.M..D.,M.S. is a Endodontics healthcare provider located in DEKALB, Illinois. NPI 1316261449 is currently active in the NPPES registry. Verify at CMS.

Endodontics · DEKALB, IL

Registration Details

NPI Number
1316261449
Provider Type
Individual
Gender
Male
NPI Issued
Mar 18, 2010 (16.220163475051 yrs)
Last Updated
Mar 18, 2010
License
021001668 (IL)

Practice Information

Address
3251 COMMERCE DR STE A
DEKALB, IL, 601157908
Browse IL providers · Browse ZIP 60115
Phone
8157568881
Fax
8157568882
Primary Specialty
Endodontics
1223E0200X

Other Endodontics Providers in DEKALB, IL

Name Credential NPI
DR. THOMAS EDWARD ALLAWAY D.D.S., M.S. 1003130147
DR. SCOTT ALLEN DRANCIK D.M.D., M.S. 1861716680
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.