Provider Demographics
NPI:1871553545
Name:FEIT, STEPHEN R (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:R
Last Name:FEIT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 HONEYGO CENTER DR
Mailing Address - Street 2:SUITE #106
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9815
Mailing Address - Country:US
Mailing Address - Phone:410-529-1401
Mailing Address - Fax:410-529-1406
Practice Address - Street 1:5009 HONEYGO CENTER DR
Practice Address - Street 2:SUITE #106
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9815
Practice Address - Country:US
Practice Address - Phone:410-529-1401
Practice Address - Fax:410-529-1406
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6618122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist