| Michael L. Fellin, Dmd, Llc | |
|
1695 N 7th St Lebanon PA 17046-2103 | |
| (717) 274-2514 | |
| Not Available |
| Full Name | Michael L. Fellin, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1695 N 7th St, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Michael Lewis Fellin (PRESIDENT) |
| Authorized Official Contact | 7172742514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Fellin, Dmd, Llc 1695 N 7th St Lebanon PA 17046-2103 Ph: (717) 274-2514 | Michael L. Fellin, Dmd, Llc 1695 N 7th St Lebanon PA 17046-2103 Ph: (717) 274-2514 |
| NPI Number | 1467859231 |
|---|---|
| Provider Enumeration Date | 11/22/2014 |
| Last Update Date | 09/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467859231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS038665 (Pennsylvania) | Primary |
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