Provider Demographics
NPI:1568679694
Name:FEINBERG, RICHARD MARC (RICHARD FEINBERG,DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:MARC
Last Name:FEINBERG
Suffix:
Gender:M
Credentials:RICHARD FEINBERG,DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5565 GROSSMONT CENTER DRIVE
Mailing Address - Street 2:SUITE #257, BLD. #3
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-3020
Mailing Address - Country:US
Mailing Address - Phone:619-462-8550
Mailing Address - Fax:619-465-0834
Practice Address - Street 1:5565 GROSSMONT CENTER DR
Practice Address - Street 2:SUITE #257, BLD. #3
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3020
Practice Address - Country:US
Practice Address - Phone:619-462-8550
Practice Address - Fax:619-465-0834
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302561223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics