Individual
TIAN FEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24277 COOKE ST, PARKSLEY, VA 23421
(757) 665-7729
Mailing address
PO BOX 844, PARKSLEY, VA 23421
(757) 665-7729
(757) 665-7729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010021928
—
VA
01
—
018295
ANTHEM
—
01
—
10082
DELTA DENTAL
—
01
—
133031
UNITED CONCORDIA
—
Enumeration date
09/12/2006
Last updated
12/07/2012
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