Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL J FIDLER, DDS
DeactivatedDR. MICHAEL J FIDLER, DDS is a Orthodontics & Dentofacial Orthopedics healthcare provider located in BINGHAMTON, New York. NPI 1568468130 is deactivated in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · BINGHAMTON, NY
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1568468130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2005 (0.71780821917808 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 17, 2006
- License
-
030712 (NY)
Practice Information
- Address
-
161 RIVERSIDE DRSTE 201BINGHAMTON, NY, 139054178Browse NY providers · Browse ZIP 13905
- Phone
- 6077987169
- Fax
- 6077989204
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.