Provider Demographics
NPI:1982769121
Name:FEIT, DANIEL B (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:FEIT
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 1:2016 BREAKWATER LN
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-3228
Mailing Address - Country:US
Mailing Address - Phone:201-207-9999
Mailing Address - Fax:201-568-7519
Practice Address - Street 1:2016 BREAKWATER LN
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-3228
Practice Address - Country:US
Practice Address - Phone:201-207-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI018968001223P0700X
MADN186021223P0700X
NY0454301223P0700X
FLDN266131223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics