Jennifer M Fedon Dds Pc

LBN: Jennifer M Fedon Dds Pc
Jennifer M Fedon Dds Pc is an health care organization with primary practice located at 5805 24 Mile Rd Ste A , Shelby Township MI 48316-3281. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Jennifer M Fedon Dds Pc can be contacted via phone (586) 604-5455, or through Fedon, Jennifer Marie via phone (586) 604-5455.

Contact Information

Primary practice address
5805 24 Mile Rd Ste A Shelby Township MI 48316-3281
Phone: (586) 604-5455
Fax: (586) 677-5567
Website:
Map and Directions
Authorized official contact:
Name: Fedon, Jennifer Marie Doctor of Dental Surgery (DDS)
Phone: (586) 604-5455

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1033842281
LBN Legal business name Jennifer M Fedon Dds Pc
DBA Doing business as
Authorized official Fedon, Jennifer Marie Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2022
Last updated Aug 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033842281 NPPES
Michigan Other F350398585901 DRIVERS LICENSE

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