Provider Demographics
NPI:1336467802
Name:JANEEN B. FERRARO, DDS, LLC
Entity Type:Organization
Organization Name:JANEEN B. FERRARO, DDS, LLC
Other - Org Name:OCEAN DENTAL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANEEN
Authorized Official - Middle Name:BISHOP
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-935-0905
Mailing Address - Street 1:167 AVENUE AT THE CMN
Mailing Address - Street 2:SUITE 16
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4805
Mailing Address - Country:US
Mailing Address - Phone:732-935-0905
Mailing Address - Fax:732-935-0899
Practice Address - Street 1:167 AVENUE AT THE CMN
Practice Address - Street 2:SUITE 16
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4805
Practice Address - Country:US
Practice Address - Phone:732-935-0905
Practice Address - Fax:732-935-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-09
Last Update Date:2010-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DIO22531001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty