Provider Demographics
NPI:1528826757
Name:E & N, JOHN R PRACTICE PLLC
Entity type:Organization
Organization Name:E & N, JOHN R PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:P
Authorized Official - Last Name:FEINAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-286-7410
Mailing Address - Street 1:16550 19 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1106
Mailing Address - Country:US
Mailing Address - Phone:586-286-7410
Mailing Address - Fax:586-286-1039
Practice Address - Street 1:23941 JOHN R RD
Practice Address - Street 2:
Practice Address - City:HAZEL PARK
Practice Address - State:MI
Practice Address - Zip Code:48030-1416
Practice Address - Country:US
Practice Address - Phone:248-547-2055
Practice Address - Fax:248-547-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty