Provider Demographics
NPI:1821008228
Name:FEIT, PAUL M (DDS)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:FEIT
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 1:13435 S MCCALL RD
Mailing Address - Street 2:SUITE C17
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33981
Mailing Address - Country:US
Mailing Address - Phone:941-828-1698
Mailing Address - Fax:920-494-7919
Practice Address - Street 1:13435 S MCCALL RD
Practice Address - Street 2:SUITE C17
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33981
Practice Address - Country:US
Practice Address - Phone:941-828-1698
Practice Address - Fax:920-494-7919
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5727-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice