Provider Demographics
NPI:1326178674
Name:FEUER, JOEL EVAN (DDS)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:EVAN
Last Name:FEUER
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 1:4300 BELMONT AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1084
Mailing Address - Country:US
Mailing Address - Phone:330-759-4040
Mailing Address - Fax:330-759-9333
Practice Address - Street 1:4300 BELMONT AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1084
Practice Address - Country:US
Practice Address - Phone:330-759-4040
Practice Address - Fax:330-759-9333
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18502122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0674819Medicaid