MEDICARE: DR. CLIFFORD O FEINGOLD D.D.S.

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	4338	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841217874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLIFFORD O FEINGOLD D.D.S.

Provider Business Mailing Address
First Line	:	600 ALLIANCE CT
Second Line	:	SUITE A-1
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-5000
Country	:	US
Telephone Number	:	828-670-9894
Fax Number	:	828-670-7107

Provider Business Practice Location Address
First Line	:	600 ALLIANCE CT
Second Line	:	SUITE A-1
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-5000
Country	:	US
Telephone Number	:	828-670-9894
Fax Number	:	828-670-7107

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

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	10/31/2007

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