Provider Demographics
NPI:1730221318
Name:FERRARO, ANTHONY V
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:V
Last Name:FERRARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 BOSTON POST RD SUITE 5
Mailing Address - Street 2:ORANGE DENTAL GROUP
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477
Mailing Address - Country:US
Mailing Address - Phone:203-295-0330
Mailing Address - Fax:203-795-6634
Practice Address - Street 1:472 BOSTON POST RD SUITE 5
Practice Address - Street 2:ORANGE DENTAL GROUP
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477
Practice Address - Country:US
Practice Address - Phone:203-295-0330
Practice Address - Fax:203-795-6634
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4386122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist