Provider Demographics
NPI:1598825630
Name:DAVID R. FERRY D.D.S., P.C.
Entity Type:Organization
Organization Name:DAVID R. FERRY D.D.S., P.C.
Other - Org Name:RIVER'S BEND FAMILY AND COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:FERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-530-3200
Mailing Address - Street 1:13030 RIVERS BEND RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2564
Mailing Address - Country:US
Mailing Address - Phone:804-530-3200
Mailing Address - Fax:804-530-1499
Practice Address - Street 1:13030 RIVERS BEND RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2564
Practice Address - Country:US
Practice Address - Phone:804-530-3200
Practice Address - Fax:804-530-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010060801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty