Daryl Alvan Fedak

General Practice Dentistry · Springfield, OR

Individual Active NPI

NPI number 1033117288

Practice location

5892 Main St
Ste 1
Springfield, OR 97478-5496
Phone
(541) 741-7800
Fax
(541) 741-7888

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NPI record

NPI
1033117288
Entity type
Individual (Type 1)
Enumeration date
July 12, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D7742 OR

About Daryl Fedak

Daryl Alvan Fedak is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5892 Main St, Ste 1, Springfield, OR 97478-5496. The NPI number 1033117288 was assigned on July 12, 2005 and the record was last updated on July 13, 2026.

Daryl Fedak lists a license in the registry: #D7742 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daryl Alvan Fedak?

The NPI number is 1033117288.

What is the phone number of Daryl Fedak?

The phone number listed for the practice location is (541) 741-7800.

Where is Daryl Fedak located?

5892 Main St, Ste 1, Springfield, OR 97478-5496.

What is the taxonomy code for Daryl Fedak?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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