MEDICARE: DR. JAY MARVIN FEUER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS021475L	PA

General Provider Information

NPI Number	:	1760404818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY MARVIN FEUER DDS

Provider Business Mailing Address
First Line	:	3035 WASHINGTON RD
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-3281
Country	:	US
Telephone Number	:	724-941-2200
Fax Number	:	724-941-5810

Provider Business Practice Location Address
First Line	:	3035 WASHINGTON RD
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-3281
Country	:	US
Telephone Number	:	724-941-2200
Fax Number	:	724-941-5810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

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