MEDICARE: CLAIRE FERRARI DDS, MSD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	44875	CA

General Provider Information

NPI Number	:	1013315514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE FERRARI DDS, MSD

Provider Business Mailing Address
First Line	:	1940 SAN ANTONIO AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94707-1620
Country	:	US
Telephone Number	:	510-338-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	291 ARLINGTON AVE
Second Line	:
City	:	KENSINGTON
State	:	CA
Zip	:	94707-1401
Country	:	US
Telephone Number	:	510-338-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2014
Last Update Date	:	12/15/2014

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Directions to “ CLAIRE FERRARI DDS, MSD” Practice Location

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