MEDICARE: RICHARD A. FEIN, DMD, PA

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	1223E0200X	Endodontics	11132	MD

General Provider Information

NPI Number	:	1861660839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD A. FEIN, DMD, PA

Provider Business Mailing Address
First Line	:	8808 CENTRE PARK DR
Second Line	:	SUITE 210
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2126
Country	:	US
Telephone Number	:	410-772-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	8808 CENTRE PARK DR
Second Line	:	SUITE 210
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2126
Country	:	US
Telephone Number	:	410-772-9600
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD FEIN
Credential	:	DMD
Telephone Number	:	410-772-9600

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	09/07/2012

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