DR. CRAIG MARTIN FEENSTRQ


Address: 4830 W 148th St., Midlothian, IL 60445
Phone: 7086872560

DR. CRAIG MARTIN FEENSTRQ (NPI# 1447311709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447311709
Entity Type Individual
Full Name DR. CRAIG MARTIN FEENSTRQ
Credential DMD
Practice Address 4830 W 148th St.
Midlothian
IL 60445
Practice Telephone 7086872560
Mailing Telephone 7086872560
Enumeration Date 2006-12-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
IL Dental Providers

Office Location

Street Address 4830 W 148TH ST.
City MIDLOTHIAN
State IL
Zip Code 60445

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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

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Competitor

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City MIDLOTHIAN
Zip Code 60445

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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