Provider Demographics
NPI:1912056102
Name:FERRO, VALENTIN A (DMD, PC)
Entity Type:Individual
Prefix:
First Name:VALENTIN
Middle Name:A
Last Name:FERRO
Suffix:
Gender:M
Credentials:DMD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 JACK WARNER PKWY NE
Mailing Address - Street 2:SUITE H2
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-5751
Mailing Address - Country:US
Mailing Address - Phone:205-758-4809
Mailing Address - Fax:205-758-4207
Practice Address - Street 1:535 JACK WARNER PKWY NE
Practice Address - Street 2:SUITE H2
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-5751
Practice Address - Country:US
Practice Address - Phone:205-758-4809
Practice Address - Fax:205-758-4207
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL49211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice