Robert B Felsenfeld Dds Pc | |
22731 Newman St Suite 240 Dearborn MI 48124-3852 | |
(313) 562-1515 | |
(313) 562-7439 |
Full Name | Robert B Felsenfeld Dds Pc |
---|---|
Speciality | Dentist |
Location | 22731 Newman St, Dearborn, Michigan |
Authorized Official Name and Position | Robert B Felsenfeld (PRESIDENT) |
Authorized Official Contact | 3135621515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robert B Felsenfeld Dds Pc 22731 Newman St Suite 240 Dearborn MI 48124-3852 Ph: (313) 562-1515 | Robert B Felsenfeld Dds Pc 22731 Newman St Suite 240 Dearborn MI 48124-3852 Ph: (313) 562-1515 |
NPI Number | 1457523714 |
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Provider Enumeration Date | 03/27/2008 |
Last Update Date | 05/05/2010 |
Medicare PECOS PAC ID | 4587741426 |
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Medicare Enrollment ID | O20080402000854 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457523714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901013449 (Michigan) | Primary |
Provider Name | Robert B Felsenfeld |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1235109349 PECOS PAC ID: 3072699057 Enrollment ID: I20080401000323 |
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