Marlene K. Feisthamel, DDS
Individual provider Active NPI Dentist · Battlefield, MO
NPI 1043342983 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043342983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 015614 (MO)
- Practice address
- 5469 S State Highway FF
Battlefield, MO 65619-9825 - Phone
- (417) 447-5180
- Fax
- (417) 447-1509
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Battlefield Modern Dentistry LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 015614 | MO | Yes |
Addresses
Primary practice location
5469 S State Highway FF
Battlefield, MO 65619-9825
Mailing address
5469 S State Highway FF
Battlefield, MO 65619-9825
Phone (417) 447-5180
Other providers in Battlefield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.