Provider Demographics
NPI:1144436957
Name:FEENEY, AUSTIN WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:WILLIAM
Last Name:FEENEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 PINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5409
Mailing Address - Country:US
Mailing Address - Phone:203-966-3042
Mailing Address - Fax:203-972-0453
Practice Address - Street 1:45 PINE ST
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5409
Practice Address - Country:US
Practice Address - Phone:203-966-3042
Practice Address - Fax:203-972-0453
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0074001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics