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General NPI Number Information
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NPI Number | 1760308050
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Entity Type | Individual
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Provider Name | COLTON RYAN FEINBERG DMD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 5330 CENTURY DIVISION AVE HAGEN DENTAL CLINIC
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City | COLUMBIA
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State | SC
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Zip | 29207
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Country | US
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Telephone | 803-751-3652
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Fax |
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Provider Business Mailing Address
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Address Line | 3789 TUPELO CHURCH LN
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City | MOUNT PLEASANT
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State | SC
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Zip | 29429-4960
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Country | US
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Telephone | 843-277-5234
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11489
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License Number State | SC
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