| Travis J. Fiegle, Dmd, Pa | |
|
102 Buckwalter Pkwy Ste 3j Bluffton SC 29910-4130 | |
| (843) 836-3010 | |
| (843) 836-3014 |
| Full Name | Travis J. Fiegle, Dmd, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 102 Buckwalter Pkwy Ste 3j, Bluffton, South Carolina |
| Authorized Official Name and Position | Travis Fiegle (PRESIDENT) |
| Authorized Official Contact | 4042955811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis J. Fiegle, Dmd, Pa 102 Buckwalter Pkwy Ste 3j Bluffton SC 29910-4130 Ph: (843) 836-3010 | Travis J. Fiegle, Dmd, Pa 102 Buckwalter Pkwy Ste 3j Bluffton SC 29910-4130 Ph: (843) 836-3010 |
| NPI Number | 1376288209 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376288209 | NPI | - | NPPES |
| ZX8151 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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