Search › Illinois › 122300000X
Ethan Duewer, DMD
NPI 1972023117 · on the registry since 2017
Practice
- Address
- 1140 Rickard Rd Ste 1
Springfield, IL 62704 - Phone
- (217) 787-3096
- Organisation at this address
- Rickard Road Dental Group
Santarelli & Feller Dental GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois