Individual
DR. ERIC D FERRARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
614 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 228-1010
(678) 692-0242
Mailing address
614 S 8TH ST, GRIFFIN, GA 30224-4214
(770) 228-1010
(678) 692-0242
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DN013416
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN013416
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN013416
GA
261QD0000X
Dental Clinic/Center
DN013416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178058507A
—
GA
05
—
178058507B
—
GA
Enumeration date
06/17/2005
Last updated
07/01/2011
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