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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629073465 | NPPES |
| Georgia | MEDICAID | 178058507B | |
| Georgia | MEDICAID | 178058507A |
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