| Fehlman Dental Practice, Ltd | |
|
116 W 2nd St Geneseo IL 61254-1320 | |
| (309) 944-6401 | |
| (309) 945-4311 |
| Full Name | Fehlman Dental Practice, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 116 W 2nd St, Geneseo, Illinois |
| Authorized Official Name and Position | Bruce Richard Fehlman (OWNER) |
| Authorized Official Contact | 3099446401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fehlman Dental Practice, Ltd Po Box 109 Geneseo IL 61254-0109 Ph: (309) 944-6401 | Fehlman Dental Practice, Ltd 116 W 2nd St Geneseo IL 61254-1320 Ph: (309) 944-6401 |
| NPI Number | 1851579940 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851579940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Aaron Thomas Wachtel, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 E. Ogden Avenue, Geneseo, IL 61254 Phone: 309-944-5191 Fax: 309-944-8317 |