Individual
DR. ALLYSON NICOLE FEASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3030 LAKE AVE STE 15, FORT WAYNE, IN 46805-5428
(317) 607-7959
Mailing address
3030 LAKE AVE STE 15, FORT WAYNE, IN 46805-5428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IN12011181A
IN
Other
Enumeration date
07/25/2008
Last updated
04/14/2026
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