MEDICARE: DR. ALAN STEWART FIELDING DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	14438	MA

General Provider Information

NPI Number	:	1467658922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN STEWART FIELDING DDS

Provider Business Mailing Address
First Line	:	3950 NORTH MAIN ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720
Country	:	US
Telephone Number	:	508-676-0649
Fax Number	:	508-730-1505

Provider Business Practice Location Address
First Line	:	3950 NORTH MAIN ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720
Country	:	US
Telephone Number	:	508-676-0649
Fax Number	:	508-730-1505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	07/08/2007

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