Provider Demographics
NPI:1396828281
Name:CUFFEY, FLORETTA ALFREDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:FLORETTA
Middle Name:ALFREDA
Last Name:CUFFEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:FLORETTA
Other - Middle Name:ALFREDA
Other - Last Name:TERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:6049 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-6259
Mailing Address - Country:US
Mailing Address - Phone:301-350-6500
Mailing Address - Fax:301-350-6558
Practice Address - Street 1:6049 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-6259
Practice Address - Country:US
Practice Address - Phone:301-350-6500
Practice Address - Fax:301-350-6558
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD90281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice