Provider Demographics
NPI:1235306762
Name:JAMES M FERRAIOLO DMD LLC
Entity Type:Organization
Organization Name:JAMES M FERRAIOLO DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:FERRAIOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-893-5771
Mailing Address - Street 1:48 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2102
Mailing Address - Country:US
Mailing Address - Phone:603-893-5771
Mailing Address - Fax:603-893-8707
Practice Address - Street 1:48 N BROADWAY
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2102
Practice Address - Country:US
Practice Address - Phone:603-893-5771
Practice Address - Fax:603-893-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH13271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty