# GARY R FELDMAN DDS MD PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gary R Feldman MD DDS PS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295257384
- **Authorized official:** DR. GARY R FELDMAN DDS MD PS (PRESIDENT)
- **Authorized official phone:** (206) 215-2088

## Contact information

- **Practice address:** 1221 MADISON ST STE 1116, SEATTLE, WA 98104-3536
- **Practice address phone:** (206) 215-2088
- **Practice address fax:** (206) 215-2087
- **Mailing address:** 1221 MADISON ST STE 1116, SEATTLE, WA 98104-3536
- **Mailing address phone:** (206) 215-2088
- **Mailing address fax:** (206) 215-2087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 17630 | WA | Yes |
| 261Q00000X | Clinic/Center | 17630 | WA | — |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 07/21/2022