Provider Demographics
NPI:1124755624
Name:FERRARA FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:FERRARA FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FERRARA
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:985-792-0515
Mailing Address - Street 1:301 COVINGTON ST.
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447
Mailing Address - Country:US
Mailing Address - Phone:985-792-0515
Mailing Address - Fax:985-792-0517
Practice Address - Street 1:301 COVINGTON ST.
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447
Practice Address - Country:US
Practice Address - Phone:985-792-0515
Practice Address - Fax:985-792-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty