Healthcare Provider Details

I. General information

NPI: 1114809183
Provider Name (Legal Business Name): FERRIER DENTAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 HEARST AVE
BERKELEY CA
94709-2130
US

IV. Provider business mailing address

895 MORAGA RD STE 11
LAFAYETTE CA
94549-5039
US

V. Phone/Fax

Practice location:
  • Phone: 510-841-0662
  • Fax:
Mailing address:
  • Phone: 925-283-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: ANDREW FERRIER
Title or Position: PRESIDENT
Credential: DDS
Phone: 925-283-0313