Jeffrey S. Feltzer, Dmd, P.c. | |
518 Lincolnway W Mishawaka IN 46544-1807 | |
(574) 255-5630 | |
Not Available |
Full Name | Jeffrey S. Feltzer, Dmd, P.c. |
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Speciality | Dentist - General Practice |
Location | 518 Lincolnway W, Mishawaka, Indiana |
Authorized Official Name and Position | Jeffrey S. Feltzer (PRESIDENT) |
Authorized Official Contact | 5743094791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jeffrey S. Feltzer, Dmd, P.c. Po Box 806 Middlebury IN 46540-0806 Ph: () - | Jeffrey S. Feltzer, Dmd, P.c. 518 Lincolnway W Mishawaka IN 46544-1807 Ph: (574) 255-5630 |
NPI Number | 1194052183 |
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Provider Enumeration Date | 11/11/2009 |
Last Update Date | 11/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194052183 | NPI | - | NPPES |
200432580 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12010107A (Indiana) | Primary |
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