Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033117288 Individual Practitioner Male Practitioner

Daryl Alvan Fedak

Dentist - General Practice • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Daryl Fedak is a registered healthcare professional specializing in Dentist - General Practice in Springfield, OR. Practice services are available at 5892 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5892 Main St
Ste 1

Springfield, OR 974785496

Telephone 5417417800
Fax 5417417888
Associated Practice Facility / Clinic
🏢 Focal Point Facility NPI 1932439551

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
34 Specialists

Practicing in Springfield, OR (1994 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D7742

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna
7696119
Commercial Insurance / Payer ID United Concordia
1407366

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5892 MAIN ST, STE 1, SPRINGFIELD, OR 974785496 (Tel: 5417417800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5892 MAIN ST, STE 1, SPRINGFIELD, OR 974785496 (Tel: 5417417800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DARYL FEDAK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D7742 in OR)

🟢
Initial NPI Registration & Enumeration July 12, 2005

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: 1033117288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

5892 Main St, Ste 1

Springfield, OR 974785496

Phone: 5417417800

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.