Provider Demographics
NPI:1891238929
Name:FERREIRA, MAGALY C (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAGALY
Middle Name:C
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5932 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-3148
Mailing Address - Country:US
Mailing Address - Phone:612-840-3002
Mailing Address - Fax:
Practice Address - Street 1:2690 SNELLING AVE N STE 250
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1700
Practice Address - Country:US
Practice Address - Phone:651-633-1834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLGL15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist