Provider Demographics
NPI:1285724633
Name:ROBERT J. FEILD DDS. PC.
Entity type:Organization
Organization Name:ROBERT J. FEILD DDS. PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FEILD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-851-4587
Mailing Address - Street 1:21 RIDING PATH
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-1082
Mailing Address - Country:US
Mailing Address - Phone:757-851-4587
Mailing Address - Fax:
Practice Address - Street 1:171 FOX HILL RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2368
Practice Address - Country:US
Practice Address - Phone:757-851-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010061871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty