Provider Demographics
NPI:1821377565
Name:FELEPPELLE, ANDREA LYNN (DDS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:FELEPPELLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8871 BRECKSVILLE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1921
Mailing Address - Country:US
Mailing Address - Phone:440-526-8688
Mailing Address - Fax:440-526-0378
Practice Address - Street 1:8871 BRECKSVILLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1921
Practice Address - Country:US
Practice Address - Phone:440-526-8688
Practice Address - Fax:440-526-0378
Is Sole Proprietor?:No
Enumeration Date:2011-08-12
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0241271223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice