Provider Demographics
NPI:1801027115
Name:FEINMAN, RONALD A (DMD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:A
Last Name:FEINMAN
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 1:5014 ROSWELL RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2207
Mailing Address - Country:US
Mailing Address - Phone:404-847-9711
Mailing Address - Fax:404-303-8867
Practice Address - Street 1:5014 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2207
Practice Address - Country:US
Practice Address - Phone:404-847-9711
Practice Address - Fax:404-303-8867
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7045122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist