Individual
JEFFREY SCOTT FELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
518 LINCOLN WAY W, MISHAWAKA, IN 46544-1807
(574) 255-5630
(574) 256-0323
Mailing address
15655 SIGNAL HILL CT, GRANGER, IN 46530-6512
(574) 255-5630
(574) 256-0323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010107
IN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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