Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fred Arthur Diercks, DDS

Individual provider Dentist · NPI 1215943071

Dr. Fred Arthur Diercks, DDS is a Dentist in San Mateo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

320 N San Mateo Dr
San Mateo, CA 94401
Phone: (650) 342-7401
Fax: (650) 342-6003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 18461 (CA)

Record details

NPI number1215943071
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address320 N San Mateo Dr, San Mateo, CA 94401

Other providers in San Mateo