Individual
DR. JACK HOWARD FEUERSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2566 SHERIDAN DR, TONAWANDA, NY 14150-9412
(716) 871-9511
(716) 871-8224
Mailing address
2566 SHERIDAN DR, TONAWANDA, NY 14150-9412
(716) 871-9511
(716) 871-8224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042398-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02745357
—
NY
Enumeration date
12/20/2006
Last updated
08/22/2007
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