Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Scott Michael Bietsch, DMD

Individual provider Dentist · NPI 1902119837

Dr. Scott Michael Bietsch, DMD is a Dentist in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

402 S Lewis Ln
Carbondale, IL 62901-3547
Phone: (618) 519-9200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.028399 (IL)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 021002781 (IL)

Record details

NPI number1902119837
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESDecember 9, 2016

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