Individual
DR. JOHN E FIDLER JR.
Active
Individual
DR. JOHN E FIDLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7575
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160988
UNITED CONCORDIA
NC
05
—
89902J5
—
NC
01
—
902J5
BCBS OF NC
NC
Enumeration date
05/12/2006
Last updated
07/13/2026
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