Provider Demographics
NPI:1922370667
Name:ANDREW FERRIER, DDS, CORP
Entity Type:Organization
Organization Name:ANDREW FERRIER, DDS, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:FERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-424-2171
Mailing Address - Street 1:6161 MARGARIDO DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1838
Mailing Address - Country:US
Mailing Address - Phone:415-424-2171
Mailing Address - Fax:
Practice Address - Street 1:905 MORAGA RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4507
Practice Address - Country:US
Practice Address - Phone:925-283-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA530631223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty