Provider Demographics
NPI:1700906252
Name:FUEREDI, BARBARA A (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:FUEREDI
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 1:4413 OUTER DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6707
Mailing Address - Country:US
Mailing Address - Phone:239-775-2455
Mailing Address - Fax:239-775-2473
Practice Address - Street 1:4413 OUTER DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6707
Practice Address - Country:US
Practice Address - Phone:239-775-2455
Practice Address - Fax:239-775-2473
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00102831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice