Organization
TRAVIS J. FIEGLE, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS FIEGLE DMD (PRESIDENT)
(404) 295-5811
Entity
Organization
Contact information
Practice address
102 BUCKWALTER PKWY STE 3J, BLUFFTON, SC 29910-4130
(843) 836-3010
(843) 836-3014
Mailing address
102 BUCKWALTER PKWY STE 3J, BLUFFTON, SC 29910-4130
(843) 836-3010
(843) 836-3014
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX8151
—
SC
Enumeration date
05/04/2022
Last updated
05/04/2022
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