Provider Demographics
NPI:1710024575
Name:HEWITT AND FELTZER DENTISTRY PARTNERSHIP
Entity Type:Organization
Organization Name:HEWITT AND FELTZER DENTISTRY PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:574-255-5630
Mailing Address - Street 1:518 LINCOLN WAY W
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46544-1807
Mailing Address - Country:US
Mailing Address - Phone:574-255-5630
Mailing Address - Fax:574-256-0323
Practice Address - Street 1:518 LINCOLN WAY W
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46544-1807
Practice Address - Country:US
Practice Address - Phone:574-255-5630
Practice Address - Fax:574-256-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120078011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty