Healthcare Provider Details

I. General information

NPI: 1265363626
Provider Name (Legal Business Name): GREGORY M. FELDMAN, DMD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 NW 43RD ST STE 16
GAINESVILLE FL
32606-6676
US

IV. Provider business mailing address

2441 NW 43RD ST STE 16
GAINESVILLE FL
32606-6676
US

V. Phone/Fax

Practice location:
  • Phone: 352-887-6453
  • Fax: 352-376-1885
Mailing address:
  • Phone: 352-887-6453
  • Fax: 352-376-1885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: GREGORY FELDMAN
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 352-887-6453