Provider Demographics
NPI:1356428411
Name:DENTAL OFFICE OF GEORGE D FELDER
Entity type:Organization
Organization Name:DENTAL OFFICE OF GEORGE D FELDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FELDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-882-1700
Mailing Address - Street 1:5208 CLARITON BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-882-1700
Mailing Address - Fax:412-882-9952
Practice Address - Street 1:5208 CLARITON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236
Practice Address - Country:US
Practice Address - Phone:412-882-1700
Practice Address - Fax:412-882-9952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021351L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty