Audrey Fields, DDS

NPI #1023509932 in Carbondale, Illinois

Provider Information

NPI Number: 1023509932
Entity Type: Individual
Name: Audrey Fields, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 25, 2018
Last Updated: Jul 3, 2018

Practice Location

Address: 402 S LEWIS LN
City: Carbondale
State: Illinois
ZIP Code: 62901
Phone: (618) 519-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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