Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902119837 Individual Practitioner Male Practitioner

Dr. Scott Michael Bietsch , DMD

Dentist • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

Dr. Scott Bietsch, DMD is a registered healthcare professional specializing in Dentist in Carbondale, IL. Practice services are available at 402 S LEWIS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

402 S Lewis Ln

Carbondale, IL 629013547

Telephone 6185199200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Carbondale, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.028399

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License IL 021002781

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Russell Brown , PA-C

Physician Assistant - Medical

NPI 1003920034

Physician Assistant (Certified)

Megan Walker

Advanced Practice Midwife

NPI 1013464692
NPI 1023509932

Doctor of Dental Surgery

Lindsay Miller , LCPC

Counselor - Mental Health

NPI 1023774056

Licensed Clinical Professional Counselor

Katie Surman , RD

Dietitian, Registered

NPI 1033038005

Registered Dietitian

Dr. Douglas Brown , DO

Family Medicine

NPI 1033364674

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2016

Registered at 402 S LEWIS LN, CARBONDALE, IL 629013547 (Tel: 6185199200)

📍
Updated Business Mailing Address December 09, 2016

Registered at PO BOX 577, 109 CALIFORNIA ST, CARTERVILLE, IL 628180577 (Tel: 6189858221)

👤
Provider Name / Credentials Updated December 09, 2016

Recorded as SCOTT BIETSCH, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2016

Dentist (License #019.028399 in IL)

🟢
Initial NPI Registration & Enumeration July 20, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902119837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2010
Last Update: December 09, 2016
Sole Proprietor: No

Mailing Address

Po Box 577, 109 California St

Carterville, IL 628180577

Phone: 6189858221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.