Healthcare Provider Details

I. General information

NPI: 1689326340
Provider Name (Legal Business Name): DR. ERIC FEICHTINGER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 PROFESSIONAL LN UNIT 250
LONGMONT CO
80501-6967
US

IV. Provider business mailing address

2998 GINNALA DR STE 101
LOVELAND CO
80538-7820
US

V. Phone/Fax

Practice location:
  • Phone: 720-597-3344
  • Fax:
Mailing address:
  • Phone: 970-214-7208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDEN.00204818
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: