Provider Demographics
NPI:1740404912
Name:FEINER, JAYMIE BETH SACHS (DMD)
Entity Type:Individual
Prefix:
First Name:JAYMIE
Middle Name:BETH SACHS
Last Name:FEINER
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 1:2263 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5825
Mailing Address - Country:US
Mailing Address - Phone:954-475-0700
Mailing Address - Fax:954-475-1201
Practice Address - Street 1:2263 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-5825
Practice Address - Country:US
Practice Address - Phone:954-475-0700
Practice Address - Fax:954-475-1201
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16837122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist