Provider Demographics
NPI:1275596090
Name:FELDSHER, RENEE M (DMD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:M
Last Name:FELDSHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PENNS TRAIL
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940
Mailing Address - Country:US
Mailing Address - Phone:215-860-4141
Mailing Address - Fax:215-860-6070
Practice Address - Street 1:12 PENNS TRAIL
Practice Address - Street 2:SUITE B
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940
Practice Address - Country:US
Practice Address - Phone:215-860-4141
Practice Address - Fax:215-860-6070
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030587-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice