Search › Illinois › 122300000X
Scott Bietsch, D.M.D
NPI 1902119837 · on the registry since 2010
Practice
- Address
- 402 S Lewis Ln
Carbondale, IL 62901 - Phone
- (618) 519-9200
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223P0221X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois