Provider Demographics
NPI:1437385929
Name:FEINBERG, JULIE NULLMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:NULLMAN
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 OAK RIDGE CIR FL USA
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3703
Mailing Address - Country:US
Mailing Address - Phone:954-591-2552
Mailing Address - Fax:
Practice Address - Street 1:3403 N HIATUS RD STE 2
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7502
Practice Address - Country:US
Practice Address - Phone:954-742-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN186951223G0001X
FLDN 186951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice