MEDICARE: DR. DANIEL B FEIT 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	1223P0700X	Prosthodontics	22DI01896800	NJ
2	1223P0700X	Prosthodontics	DN18602	MA
3	1223P0700X	Prosthodontics	045430	NY
4	1223P0700X	Prosthodontics	DN26613	FL

General Provider Information

NPI Number	:	1982769121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL B FEIT DMD

Provider Business Mailing Address
First Line	:	2016 BREAKWATER LN
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-3228
Country	:	US
Telephone Number	:	201-207-9999
Fax Number	:	201-568-7519

Provider Business Practice Location Address
First Line	:	2016 BREAKWATER LN
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-3228
Country	:	US
Telephone Number	:	201-207-9999
Fax Number	:

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

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	05/18/2022

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