MEDICARE: PAUL M FEIT DDS

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	1223G0001X	General Practice Dentistry	5727-015	WI

General Provider Information

NPI Number	:	1821008228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL M FEIT DDS

Provider Business Mailing Address
First Line	:	13435 S MCCALL RD
Second Line	:	SUITE C17
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33981
Country	:	US
Telephone Number	:	941-828-1698
Fax Number	:	920-494-7919

Provider Business Practice Location Address
First Line	:	13435 S MCCALL RD
Second Line	:	SUITE C17
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33981
Country	:	US
Telephone Number	:	941-828-1698
Fax Number	:	920-494-7919

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	06/24/2024

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