Individual
DR. ALLEN FRED FIELDING
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
DS016909L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060874000
KEYSTONE EAST
PA
01
—
01684301
CAPITAL BLUE CROSS
PA
01
—
0582812
AETNA HEALTHCARE
PA
01
—
2000631
KEYSTONE CENTRAL
PA
Enumeration date
09/26/2006
Last updated
12/10/2012
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