MEDICARE: RONALD A FEINMAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7045	GA

General Provider Information

NPI Number	:	1801027115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD A FEINMAN DMD

Provider Business Mailing Address
First Line	:	5014 ROSWELL RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-2207
Country	:	US
Telephone Number	:	404-847-9711
Fax Number	:	404-303-8867

Provider Business Practice Location Address
First Line	:	5014 ROSWELL RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-2207
Country	:	US
Telephone Number	:	404-847-9711
Fax Number	:	404-303-8867

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2009
Last Update Date	:	05/14/2013

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