Provider Demographics
NPI:1205048261
Name:FELDNER, BARRY DUANE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:DUANE
Last Name:FELDNER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 2ND AVE
Mailing Address - Street 2:SUITE 218
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-3571
Mailing Address - Country:US
Mailing Address - Phone:308-237-0100
Mailing Address - Fax:308-237-0770
Practice Address - Street 1:3000 2ND AVE
Practice Address - Street 2:SUITE 218
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-3571
Practice Address - Country:US
Practice Address - Phone:308-237-0100
Practice Address - Fax:308-237-0770
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE56631223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics