Provider Demographics
NPI:1982609939
Name:FEDER, MORRIS J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:J
Last Name:FEDER
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 1:1422 52ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3919
Mailing Address - Country:US
Mailing Address - Phone:718-851-0277
Mailing Address - Fax:718-851-1312
Practice Address - Street 1:1422 52ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3919
Practice Address - Country:US
Practice Address - Phone:718-851-0277
Practice Address - Fax:718-851-1312
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0269201223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery