Provider Demographics
NPI:1568806990
Name:FEENEY, BRIAN ANDREW (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ANDREW
Last Name:FEENEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 SPRING HILL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3000
Mailing Address - Country:US
Mailing Address - Phone:703-821-4040
Mailing Address - Fax:703-821-4041
Practice Address - Street 1:1430 SPRING HILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3000
Practice Address - Country:US
Practice Address - Phone:703-821-4040
Practice Address - Fax:703-821-4041
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014103731223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics