IndividualActive
Adam Fritzgerald, DMD
NPI 1891176897 · General Practice Dentistry · Collinsville, IL
Provider details
- NPI number
- 1891176897
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019.030179 (IL)
Specialties & taxonomies
Dental Providers
Practice location
473 Parkside Commons Ct
Collinsville, IL 62234-4488
Phone: (217) 412-9940
Approximate (ZIP-level) locationGet directions
Mailing address
473 Parkside Commons Ct
Collinsville, IL 62234-4488
Registry dates
- Enumerated
- 2015-06-15
- Last updated
- 2015-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.