Individual
DR. DAVID P FERRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
420 E GREEN BAY ST, SHAWANO, WI 54166-2549
(715) 524-2483
(715) 524-5005
Mailing address
420 E GREEN BAY ST, SHAWANO, WI 54166-2549
(715) 524-2483
(715) 524-5005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002142
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33374900
—
WI
Enumeration date
11/01/2006
Last updated
07/09/2007
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