Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BRIAN DIETRICH, D.M.D.
Active Sole ProprietorDR. MICHAEL BRIAN DIETRICH, D.M.D. is a Dentist healthcare provider located in BRIDGETON, Missouri. NPI 1750492500 is currently active in the NPPES registry. Verify at CMS.
Dentist · BRIDGETON, MO
Registration Details
- NPI Number
- 1750492500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.914953779474 yrs)
- Last Updated
- Jul 8, 2007
- License
-
14818 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3439 BRIDGELAND DRBRIDGETON, MO, 630442604Browse MO providers · Browse ZIP 63044
- Phone
- 3142912777
- Fax
- 3142919873
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| STEPHEN PAUL BOZOIAN | DMD | 1609960533 |
| DR. HEATHER ELIZABETH RECHTIN | DDS | 1134215783 |
| DR. MICHAEL THEODORE KATSEV | DDS | 1447334875 |
| MR. MARZBAN G PATEL | DDS MS | 1033296132 |
| CRAIG GERARD ELINOR | DMD | 1447339668 |
| DR. L MARILYN WEAKS | DMD | 1013043348 |
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.