Provider Demographics
NPI:1851454672
Name:FELDNER, WILLIAM ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARTHUR
Last Name:FELDNER
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 1:15704 MILL CREEK BLVD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1572
Mailing Address - Country:US
Mailing Address - Phone:425-337-5549
Mailing Address - Fax:
Practice Address - Street 1:15704 MILL CREEK BLVD
Practice Address - Street 2:SUITE 18
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1572
Practice Address - Country:US
Practice Address - Phone:425-337-5549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000063171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice