Provider Demographics
NPI:1659397131
Name:FERRES, DORIS A (DMD)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:A
Last Name:FERRES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 BUCKHEAD DR SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-5088
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4125 9TH ST SW
Practice Address - Street 2:SUITE 104
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32968-4880
Practice Address - Country:US
Practice Address - Phone:772-567-1011
Practice Address - Fax:772-567-1170
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL153991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice