Provider Demographics
NPI:1255953121
Name:DANIEL FELDMAN DDS INC
Entity type:Organization
Organization Name:DANIEL FELDMAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:I
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-938-7700
Mailing Address - Street 1:2700 N BELLFLOWER BLVD STE 117
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1100
Mailing Address - Country:US
Mailing Address - Phone:562-938-7700
Mailing Address - Fax:562-938-7770
Practice Address - Street 1:2700 N BELLFLOWER BLVD STE 117
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-1100
Practice Address - Country:US
Practice Address - Phone:562-938-7700
Practice Address - Fax:562-938-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental