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General NPI Number Information
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NPI Number | 1538375480
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Entity Type | Organization
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Legal Business Name | BRUCE M. FELDSTEIN, DDS, PC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30 AIRPORT RD SUITE 3
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City | WEST LEBANON
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State | NH
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Zip | 03784-1664
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Country | US
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Telephone | 603-298-7660
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Fax | 603-298-8135
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Provider Business Mailing Address
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Address Line | 30 AIRPORT RD SUITE 3
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City | WEST LEBANON
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State | NH
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Zip | 03784-1664
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Country | US
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Telephone | 603-298-7660
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Fax | 603-298-8135
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE FELDSTEIN
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Credential | DDS
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Telephone | 603-298-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1992
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License Number State | NH
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