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Individual

DR. ANTHONY S. FECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
860 CORPORATE DR., SUITE 202, LEXINGTON, KY 40503-5427
(859) 223-4644
(859) 224-8466
Mailing address
860 CORPORATE DR., SUITE 202, LEXINGTON, KY 40503-5427
(859) 223-4644
(859) 224-8466

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55800
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000806082
UNITED CONCORDIA-TRICARE
Enumeration date
10/27/2011
Last updated
10/27/2011
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