| Organization Name: | JEFFREY J FERRER DMD PC |
| NPI Number: | 1578833471 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY J FERRER (PRESIDENT) |
| Mailing Address: | 2859 Route 55 Suite 7a Poughquag |
| State: | NY US |
| Postal Code: | 125705619 |
| Phone Number: | 8454598400 |
| Fax Number: | 8455011588 |
| NPI Enumeration Date: | 01/09/2012 |
| NPI Last Update Date: | 01/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 044624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |