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General NPI Number Information
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NPI Number | 1578984514
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Entity Type | Individual
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Provider Name | KATELYN BOWMAN FEINBERG D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 5391 MAGNOLIA TRCE
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City | HOOVER
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State | AL
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Zip | 35244-4622
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Country | US
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Telephone | 205-733-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PINE CREST RD
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-1263
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Country | US
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Telephone | 804-564-5612
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6061
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License Number State | AL
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