Provider Demographics
NPI:1558821918
Name:ARCE FEBLES, ILMARY ENID (DMD)
Entity Type:Individual
Prefix:DR
First Name:ILMARY
Middle Name:ENID
Last Name:ARCE FEBLES
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 1:3705 MELCER DR APT 2401
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4113
Mailing Address - Country:US
Mailing Address - Phone:787-903-6296
Mailing Address - Fax:
Practice Address - Street 1:51 N FARM TO MARKET 548 STE 201
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:972-810-1782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-21
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN248161223G0001X
TX383221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice