Provider Demographics
NPI:1134395833
Name:DENTAL OFFICES OF GEORGE D FELDER
Entity type:Organization
Organization Name:DENTAL OFFICES OF GEORGE D FELDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:D
Authorized Official - Last Name:FELDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-882-1700
Mailing Address - Street 1:5208 CLAIRTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2711
Mailing Address - Country:US
Mailing Address - Phone:412-882-1700
Mailing Address - Fax:
Practice Address - Street 1:5208 CLAIRTON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2711
Practice Address - Country:US
Practice Address - Phone:412-882-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021351L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty