1831113422 NPI number — FEINGOLD & KASSOUF, DDS, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831113422 NPI number — FEINGOLD & KASSOUF, DDS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FEINGOLD & KASSOUF, DDS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831113422
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
856 SWEETEN CREEK RD
Provider Second Line Business Mailing Address:
SUITE D
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28803-1547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-277-0734
Provider Business Mailing Address Fax Number:
828-277-6730

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
856 SWEETEN CREEK RD
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28803-1547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-277-0734
Provider Business Practice Location Address Fax Number:
828-277-6730
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FEINGOLD
Authorized Official First Name:
CLIFFORD
Authorized Official Middle Name:
O
Authorized Official Title or Position:
CO OWNER
Authorized Official Telephone Number:
828-277-0734

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  4338 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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