Provider Demographics
NPI:1184775181
Name:FELT, GEORGE THOMAS (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:THOMAS
Last Name:FELT
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 1:9 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MEREDITH
Mailing Address - State:NH
Mailing Address - Zip Code:03253-5640
Mailing Address - Country:US
Mailing Address - Phone:603-279-6959
Mailing Address - Fax:603-279-5494
Practice Address - Street 1:9 NORTHVIEW DR
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253-5640
Practice Address - Country:US
Practice Address - Phone:603-279-6959
Practice Address - Fax:603-279-5494
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH31901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice