Provider Demographics
NPI:1629239116
Name:FELLI, A. JAMES (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:A.
Middle Name:JAMES
Last Name:FELLI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2545
Mailing Address - Country:US
Mailing Address - Phone:607-937-5335
Mailing Address - Fax:607-962-8580
Practice Address - Street 1:149 WALNUT ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2545
Practice Address - Country:US
Practice Address - Phone:607-937-5335
Practice Address - Fax:607-962-8580
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0322511223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics