DR. Elliot Jon Fidler, D.D.S.

NPI #1447358593 in Plainview, New York

Provider Information

NPI Number: 1447358593
Entity Type: Individual
Name: DR. Elliot Jon Fidler, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: D.D.S.
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 100 MANETTO HILL RD
Address 2: 203
City: Plainview
State: New York
ZIP Code: 11803-1311
Phone: (516) 931-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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