| Thomas J Feder Dds Pc | |
|
16 N Jackson St Belleville IL 62220-1425 | |
| (618) 235-5141 | |
| Not Available |
| Full Name | Thomas J Feder Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16 N Jackson St, Belleville, Illinois |
| Authorized Official Name and Position | Thomas Joseph Feder (PRESIDENT) |
| Authorized Official Contact | 6182355141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Feder Dds Pc 16 N Jackson St Belleville IL 62220-1425 Ph: (618) 235-5141 | Thomas J Feder Dds Pc 16 N Jackson St Belleville IL 62220-1425 Ph: (618) 235-5141 |
| NPI Number | 1578734489 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578734489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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