Provider Demographics
NPI:1992138507
Name:FERREIRA, CHRISTOPHER A (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:A
Last Name:FERREIRA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2543
Mailing Address - Country:US
Mailing Address - Phone:407-894-1100
Mailing Address - Fax:407-894-1102
Practice Address - Street 1:1318 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2543
Practice Address - Country:US
Practice Address - Phone:407-894-1100
Practice Address - Fax:407-894-1102
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20367122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist