Provider Demographics
NPI:1013013754
Name:MAHER, FELIX T (DMD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:T
Last Name:MAHER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:MRS
Other - First Name:DEBORA
Other - Middle Name:M
Other - Last Name:MALPHRUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OFFICE MANAGER
Mailing Address - Street 1:5302 FREDERICK ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4812
Mailing Address - Country:US
Mailing Address - Phone:912-352-0546
Mailing Address - Fax:912-352-9386
Practice Address - Street 1:5302 FREDERICK ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4812
Practice Address - Country:US
Practice Address - Phone:912-352-0546
Practice Address - Fax:912-352-9386
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA110091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice