Provider Demographics
NPI:1902036684
Name:ANDERSON FERRILL, DAISY ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAISY
Middle Name:ANN
Last Name:ANDERSON FERRILL
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 1:649 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-6059
Mailing Address - Country:US
Mailing Address - Phone:228-875-1156
Mailing Address - Fax:228-875-8506
Practice Address - Street 1:649 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-6059
Practice Address - Country:US
Practice Address - Phone:228-875-1156
Practice Address - Fax:228-875-8506
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5679122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist