# BAY AREA DENTAL IMPLANT CENTER, LP

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

## Provider details

- **NPI number:** 1487020194
- **Authorized official:** ANDREW FERRIER DDS (PRESIDENT)
- **Authorized official phone:** (925) 283-0313

## Contact information

- **Practice address:** 895 MORAGA RD, SUITE 11, LAFAYETTE, CA 94549-5094
- **Practice address phone:** (925) 283-0313
- **Practice address fax:** (925) 283-6818
- **Mailing address:** 6161 MARGARIDO DR, OAKLAND, CA 94618-1838
- **Mailing address phone:** (925) 283-0313
- **Mailing address fax:** (925) 283-6818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | 53063 | CA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 08/17/2015
- **Last updated:** 09/16/2015