# PETER J FERRARI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316310808
- **Authorized official:** DR. PETER J FERRARI III D.D.S. (DENTIST)
- **Authorized official phone:** (219) 942-4858

## Contact information

- **Practice address:** 1005 LINCOLN ST, HOBART, IN 46342-6082
- **Practice address phone:** (219) 942-4858
- **Practice address fax:** (219) 942-4036
- **Mailing address:** 1005 LINCOLN ST, HOBART, IN 46342-6082
- **Mailing address phone:** (219) 942-4858
- **Mailing address fax:** (219) 942-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12008255 | IN | Yes |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 11/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201305540A | — | IN |