Dr Ernest L Dietl Jr, is a
Dentist based in Park Forest, Illinois. Dr Ernest L Dietl Jr is licensed to practice in Illinois (license number ) and his current practice location is
5 Centre St, Suite 1, Park Forest, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 748-2800.
NPI number for Dr Ernest L Dietl Jr is 1871535963 and his current mailing address is 5 Centre St, Suite 1, Park Forest, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871535963.
Healthcare Provider's Profile
| Full Name | Dr Ernest L Dietl Jr |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 5 Centre St, Park Forest, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871535963
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Ernest L Dietl Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871535963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ernest L Dietl Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ernest L Dietl Jr,
5 Centre St, Suite 1,
Park Forest, IL 60466-2001
Ph: (708) 748-2800 | Dr Ernest L Dietl Jr,
5 Centre St, Suite 1,
Park Forest, IL 60466-2001
Ph: (708) 748-2800 |
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