Provider Demographics
NPI:1376731729
Name:UZBELGER FELDMAN, DANIEL (DDS, DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:UZBELGER FELDMAN
Suffix:
Gender:M
Credentials:DDS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26800 AMHEARST CIR APT 111
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7571
Mailing Address - Country:US
Mailing Address - Phone:267-979-9250
Mailing Address - Fax:
Practice Address - Street 1:15445 PRESCOTT HILL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2493
Practice Address - Country:US
Practice Address - Phone:267-979-9250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN14123122300000X
SDD1217122300000X
NE7519122300000X
SC9498122300000X
OH30.023365122300000X
PADS037059122300000X
TN10901122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist