Provider Demographics
NPI:1831567114
Name:CAFFREY, ERICA MERYL (DDS)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:MERYL
Last Name:CAFFREY
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 1:4440 WILLARD AVE
Mailing Address - Street 2:APT 1225
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3611
Mailing Address - Country:US
Mailing Address - Phone:917-332-7612
Mailing Address - Fax:
Practice Address - Street 1:4440 WILLARD AVE
Practice Address - Street 2:#1225
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3611
Practice Address - Country:US
Practice Address - Phone:917-332-7612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD159831223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry