Provider Demographics
NPI:1073613360
Name:MITCHELL TEITEL AND MICHAEL FELDSTEIN DDS PC
Entity Type:Organization
Organization Name:MITCHELL TEITEL AND MICHAEL FELDSTEIN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:718-261-7071
Mailing Address - Street 1:14401 JEWEL AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1722
Mailing Address - Country:US
Mailing Address - Phone:718-261-7071
Mailing Address - Fax:718-261-0992
Practice Address - Street 1:14401 JEWEL AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1722
Practice Address - Country:US
Practice Address - Phone:718-261-7071
Practice Address - Fax:718-261-0992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0376611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty