Provider Demographics
NPI:1053482083
Name:FEE, DONALD J (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:J
Last Name:FEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WEST CROSS STREET
Mailing Address - Street 2:P.O. BOX 235
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-0235
Mailing Address - Country:US
Mailing Address - Phone:630-466-4511
Mailing Address - Fax:603-466-4573
Practice Address - Street 1:26 WEST CROSS STREET
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-0235
Practice Address - Country:US
Practice Address - Phone:630-466-4511
Practice Address - Fax:603-466-4573
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist