Individual
DR. THOMAS G FELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
102 HARDING WAY W, SUITE 102, GALION, OH 44833-1726
(419) 468-4285
(419) 468-6724
Mailing address
102 HARDING WAY W, SUITE 102, GALION, OH 44833-1726
(419) 468-4285
(419) 468-6724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19109
DENTAL LICENSE
OH
Enumeration date
01/29/2007
Last updated
07/08/2007
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