Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED J DE LA COTERA, DDS
ActiveDR. FRED J DE LA COTERA, DDS is a Oral & Maxillofacial Surgery healthcare provider located in ELMWOOD PARK, Illinois. NPI 1437139185 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ELMWOOD PARK, IL
Registration Details
- NPI Number
- 1437139185
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2006 (20.604527973253 yrs)
- Last Updated
- Jan 11, 2024
- License
-
021-001570 (IL)
Practice Information
- Address
-
7714 W NORTH AVEELMWOOD PARK, IL, 607074123Browse IL providers · Browse ZIP 60707
- Phone
- 7084567282
- Fax
- 7084567296
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.