Provider Demographics
NPI:1578833471
Name:JEFFREY J FERRER DMD PC
Entity Type:Organization
Organization Name:JEFFREY J FERRER DMD PC
Other - Org Name:DUTCHESS DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:845-459-8400
Mailing Address - Street 1:PO BOX 819
Mailing Address - Street 2:
Mailing Address - City:POUGHQUAG
Mailing Address - State:NY
Mailing Address - Zip Code:12570-0819
Mailing Address - Country:US
Mailing Address - Phone:845-459-8400
Mailing Address - Fax:845-501-1588
Practice Address - Street 1:2859 ROUTE 55
Practice Address - Street 2:SUITE 7A
Practice Address - City:POUGHQUAG
Practice Address - State:NY
Practice Address - Zip Code:12570-5619
Practice Address - Country:US
Practice Address - Phone:845-459-8400
Practice Address - Fax:845-501-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044624261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental