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

Dr. Scott Michael Bietsch, DMD

Individual provider Dentist · NPI 1902119837

Dr. Scott Michael Bietsch, DMD is a Dentist in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

402 S Lewis Ln
Carbondale, IL 62901-3547
Phone: (618) 519-9200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.028399 (IL)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 021002781 (IL)

Record details

NPI number1902119837
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESDecember 9, 2016
Mailing addressPo Box 577, 109 California St, Carterville, IL 62818-0577

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