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Individual

ANDREW FERRARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, DDS

Contact information

Practice address
2964 MILLER PLACE WAY, KNOXVILLE, TN 37924-1673
(917) 860-2391
Mailing address
7 WESTERN LN, WANTAGH, NY 11793-1208
(917) 860-2391

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11418
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
305710
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
305710
NY
390200000X
Student in an Organized Health Care Education/Training Program
934444003
NY

Other

Enumeration date
05/07/2014
Last updated
08/31/2020
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