MEDICARE: DR. SHARON PATRICIA FELLER DDS, FAGD

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	DE8376	WA
2	1223G0001X	General Practice Dentistry	4832	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912900390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON PATRICIA FELLER DDS, FAGD

Provider Business Mailing Address
First Line	:	230 N ELMIRA AVE
Second Line	:
City	:	RUSSELLVILLE
State	:	AR
Zip	:	72802-9617
Country	:	US
Telephone Number	:	479-280-1920
Fax Number	:

Provider Business Practice Location Address
First Line	:	US NAVAL HOSPITAL
Second Line	:	VIA CONTRADA BOSCARIELLO
City	:	GRICIGNANO DI AVERSA
State	:	CE
Zip	:	81030
Country	:	IT
Telephone Number	:	81-811-6000
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	05/29/2025

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