Provider Demographics
NPI:1689081796
Name:APPLEWHAITE-FERRIER, CHRISTINE Y
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:Y
Last Name:APPLEWHAITE-FERRIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:Y
Other - Last Name:FERRIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2665 MONTAGUE CT W
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-1218
Mailing Address - Country:US
Mailing Address - Phone:727-781-8188
Mailing Address - Fax:727-781-8188
Practice Address - Street 1:3438 TAMPA RD
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3530
Practice Address - Country:US
Practice Address - Phone:727-786-1077
Practice Address - Fax:727-781-2131
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN130631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice