Healthcare Provider Details

I. General information

NPI: 1588526149
Provider Name (Legal Business Name): FERLITO ORTHODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 S MAIN ST
HAVERHILL MA
01835-7210
US

IV. Provider business mailing address

412 S MAIN ST
HAVERHILL MA
01835-7210
US

V. Phone/Fax

Practice location:
  • Phone: 978-521-6262
  • Fax:
Mailing address:
  • Phone: 978-521-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS CASEY FERLITO
Title or Position: ORTHODONTIST
Credential: DMD
Phone: 978-994-2245