Doctor Name: | DR. ERIC IAN FELIX |
NPI Number: | 1417946948 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | DS030525-L |
Business Practice Address: | 519 Baltimore Pike Chadds Ford, PA - 193179304 |
Business Phone Number: | 6103882131 |
Business Fax Number: | |
Mailing Address: | 628 Bayard Rd, KENNETT SQUARE |
State: | PA |
Postal Code: | 193482505 |
Phone Number: | 6104441331 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 05/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DS030525-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |