Provider Demographics
NPI:1619180114
Name:FERRAMOSCA, TIMOTHY (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:
Last Name:FERRAMOSCA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 BENNETTS PASTURE RD STE D
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1500
Mailing Address - Country:US
Mailing Address - Phone:757-484-1444
Mailing Address - Fax:757-484-3712
Practice Address - Street 1:5501 BENNETTS PASTURE RD # STDD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1500
Practice Address - Country:US
Practice Address - Phone:757-484-1444
Practice Address - Fax:757-484-3712
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005176122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist