Ethan Duewer, DMD
Ethan Duewer, DMD is a General Practice Dentistry in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
1140 Rickard Rd Ste 1Springfield, IL 62704-6385
Phone: (217) 787-3096
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019.031206 (IL) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 019.031206 (IL) |
Record details
| NPI number | 1972023117 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | June 20, 2017 |
| Last updated in NPPES | January 18, 2022 |
| Certification date | January 18, 2022 |
| Mailing address | 1140 Rickard Rd Ste 1, Springfield, IL 62704-6385 |
Other providers in Springfield
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Dr. Tanya L Desanto, DDS
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-
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-
Dr. Karl Robert Downing, DDS
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Dr. Victoria Lynn Driskill, DMD
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-
Dr. David Stuart Durbin, DDS
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Cole Eimer, DDS
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