Provider Demographics
NPI:1720105562
Name:STEPHEN N. FERRARO, D.D.S., PC
Entity Type:Organization
Organization Name:STEPHEN N. FERRARO, D.D.S., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:NAT
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-869-3836
Mailing Address - Street 1:8327 DAVIS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4998
Mailing Address - Country:US
Mailing Address - Phone:562-869-3836
Mailing Address - Fax:
Practice Address - Street 1:8327 DAVIS ST STE 100
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4998
Practice Address - Country:US
Practice Address - Phone:562-869-3836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA510641223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty