Provider Demographics
NPI:1841217874
Name:FEINGOLD, CLIFFORD O (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:O
Last Name:FEINGOLD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 ALLIANCE CT
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-5000
Mailing Address - Country:US
Mailing Address - Phone:828-670-9894
Mailing Address - Fax:828-670-7107
Practice Address - Street 1:600 ALLIANCE CT
Practice Address - Street 2:SUITE A-1
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-5000
Practice Address - Country:US
Practice Address - Phone:828-670-9894
Practice Address - Fax:828-670-7107
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC43381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8992643Medicaid