Individual
JOHN THOMAS FELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1316 DELAWARE AVE., MCCOMB, MS 39648-3014
(601) 684-1971
(601) 684-1991
Mailing address
1316 DELAWARE AVE., MCCOMB, MS 39648-3014
(601) 684-1971
(601) 684-1991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2822-94
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660150
—
MS
Enumeration date
10/10/2008
Last updated
10/10/2008
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