Provider Demographics
NPI:1275766610
Name:DESAI, EVE FERRUGGIARO (DDS)
Entity Type:Individual
Prefix:DR
First Name:EVE
Middle Name:FERRUGGIARO
Last Name:DESAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S UNION AVE
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-3223
Mailing Address - Country:US
Mailing Address - Phone:410-939-3950
Mailing Address - Fax:410-939-3950
Practice Address - Street 1:201 S UNION AVE
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-3223
Practice Address - Country:US
Practice Address - Phone:410-939-3950
Practice Address - Fax:410-939-3950
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD144691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice