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Contact Information

JEANINE M FELL, DDS
605 SOUTH VANBUREN
NEWTON, IL62448
 Phone: 618-783-3714
 Fax: 618-783-3294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JEANINE M FELL · (Female)

NPI # 1467462788
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/09/2006
Last updated 01/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019020343
  • IL Medicaid 1002281
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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