FELTZER 2020 DENTAL MANAGEMENT LLC NPI 1104238658

NPI Information

  • NPI: 1104238658
  • Provider Name: FELTZER 2020 DENTAL MANAGEMENT LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 965 HEATHROW LN
    AVON, IN
    ZIP 46123
  • Phone: (317) 727-1534

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NPI Details

FELTZER 2020 DENTAL MANAGEMENT LLC is a general practice dentist in Avon, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FELTZER 2020 DENTAL MANAGEMENT LLC NPI is 1104238658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

965 HEATHROW LN
AVON, IN
ZIP 46123-787
Phone: (317) 727-1534

The provider's authorized official is Ronald Prokes .
The authorized official title is Cfo and has the following contact phone number (317) 727-1534.

The enumeration date for this NPI number is 6/2/2014 and was last updated on 6/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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