NPI 1235790809

Michael Philip Dietzel, DDS

Practitioner General Practice Dentistry Platteville, WI

Practice location

Address: 960 Washington St, Platteville, WI 53818-1169
Phone: (608) 348-2393

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1002108-15 (WI)

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Registry record

NPI: 1235790809
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2019
Record last updated: 25 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.