Provider Demographics
NPI:1245331917
Name:FEIL, PATRICIA WINSLOW (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:WINSLOW
Last Name:FEIL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:LOUISE
Other - Last Name:WINSLOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2229 23RD ST NW
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601
Mailing Address - Country:US
Mailing Address - Phone:218-333-6515
Mailing Address - Fax:218-333-6519
Practice Address - Street 1:2229 23RD ST NW
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601
Practice Address - Country:US
Practice Address - Phone:218-333-6515
Practice Address - Fax:218-333-6519
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND10796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist