| Jennifer M Fedon Dds Pc | |
|
5805 24 Mile Rd Ste A Shelby Township MI 48316-3281 | |
| (586) 604-5455 | |
| (586) 677-5567 |
| Full Name | Jennifer M Fedon Dds Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5805 24 Mile Rd Ste A, Shelby Township, Michigan |
| Authorized Official Name and Position | Jennifer Marie Fedon (DENTIST) |
| Authorized Official Contact | 5866045455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M Fedon Dds Pc 5805 24 Mile Rd Ste A Shelby Township MI 48316-3281 Ph: (586) 604-5455 | Jennifer M Fedon Dds Pc 5805 24 Mile Rd Ste A Shelby Township MI 48316-3281 Ph: (586) 604-5455 |
| NPI Number | 1033842281 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 1658755590 |
|---|---|
| Medicare Enrollment ID | O20220826001226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033842281 | NPI | - | NPPES |
| F350398585901 | Other | MI | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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