Organization
FELLER AND FELLER ORTHODONTICS, LLC
Active
Other names
Feller and Feller Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARLEY JACK FELLER DDS, MS (OWNER)
(307) 362-8842
Entity
Organization
Contact information
Practice address
2405 CASCADE DR, ROCK SPRINGS, WY 82901-5652
(307) 362-8842
Mailing address
2405 CASCADE DR, ROCK SPRINGS, WY 82901-5652
(307) 362-8842
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1158
WY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
743
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10578
UNITED CONCORDIA
—
01
—
743
DELTA DENTAL
WY
Enumeration date
12/12/2006
Last updated
03/13/2014
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