Healthcare Provider Details

I. General information

NPI: 1053067926
Provider Name (Legal Business Name): MARCELA BOTELHO VASCONCELOS FERREIRA DDS, DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 RHODE ISLAND AVE
FALL RIVER MA
02724-3525
US

IV. Provider business mailing address

230 RHODE ISLAND AVE
FALL RIVER MA
02724-3525
US

V. Phone/Fax

Practice location:
  • Phone: 508-646-9600
  • Fax:
Mailing address:
  • Phone: 508-646-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10001540
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: