Ferrara, Eric D

Ferrara, Eric D is an sole proprietor health care provider with primary practice located at 614 S 8Th St , Griffin GA 30224-4214. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Ambulatory Health Care Facilities / Dental, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ferrara, Eric D can be contacted via phone (770) 228-1010.

Contact Information

Primary practice address
614 S 8Th St Griffin GA 30224-4214
Phone: (770) 228-1010
Fax: (678) 692-0242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN013416 Georgia
Ambulatory Health Care Facilities / Dental 261QD0000X DN013416 Georgia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN013416 Georgia
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DN013416 Georgia

Profile Details

NPI number 1629073465
LBN Legal business name Ferrara, Eric D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Jul 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629073465 NPPES
Georgia MEDICAID 178058507B
Georgia MEDICAID 178058507A

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