Provider Demographics
NPI:1033516679
Name:CLARY AND FUEREDI DDS
Entity Type:Organization
Organization Name:CLARY AND FUEREDI DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FUEREDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:239-775-2455
Mailing Address - Street 1:4413 OUTER DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6762
Mailing Address - Country:US
Mailing Address - Phone:239-775-2455
Mailing Address - Fax:
Practice Address - Street 1:4413 OUTER DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6762
Practice Address - Country:US
Practice Address - Phone:239-775-2455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00102831223G0001X
FLDN00102631223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty