Provider Demographics
NPI:1174602650
Name:IRWIN S. FELDMAN,D.D.S.,LTD.
Entity type:Organization
Organization Name:IRWIN S. FELDMAN,D.D.S.,LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRWIN
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-534-3730
Mailing Address - Street 1:313 PARK AVE
Mailing Address - Street 2:SUITE G1
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3327
Mailing Address - Country:US
Mailing Address - Phone:703-534-3730
Mailing Address - Fax:703-534-3751
Practice Address - Street 1:313 PARK AVE
Practice Address - Street 2:SUITE G1
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3327
Practice Address - Country:US
Practice Address - Phone:703-534-3730
Practice Address - Fax:703-534-3751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty