Healthcare Provider Details

I. General information

NPI: 1629531751
Provider Name (Legal Business Name): JULIA FEIGE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2019
Last Update Date: 10/05/2024
Certification Date: 10/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29626 ANN ARBOR TRL
WESTLAND MI
48185-2581
US

IV. Provider business mailing address

1121 S MILITARY TRL # 251
DEERFIELD BEACH FL
33442-7645
US

V. Phone/Fax

Practice location:
  • Phone: 734-422-4900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901602031
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number6644-C1
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN25781
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: