Provider Demographics
NPI:1073632568
Name:FERRARA, FRANK JOSEPH II (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOSEPH
Last Name:FERRARA
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:F.
Other - Middle Name:JOSEPH
Other - Last Name:FERRARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:301 COVINGTON ST.
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447
Mailing Address - Country:US
Mailing Address - Phone:985-792-0515
Mailing Address - Fax:985-792-0517
Practice Address - Street 1:301 COVINGTON ST.
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447
Practice Address - Country:US
Practice Address - Phone:985-792-0515
Practice Address - Fax:985-792-0517
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA54731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice