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NPI Code Detail

MEDICARE: KATHERINE E. FERRY DDS

MEDICARE:   KATHERINE E. FERRY  DDS
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
11223P0300XPeriodontics12013206AIN

General Provider Information

NPI Number : 1114524477
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE E. FERRY DDS
Provider Business Mailing Address
First Line : 3180 MIDDLE RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2298
Country : US
Telephone Number : 812-350-4465
Fax Number :
Provider Business Practice Location Address
First Line : 3180 MIDDLE RD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2298
Country : US
Telephone Number : 812-372-2141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2020
Last Update Date : 02/07/2023

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Directions to “ KATHERINE E. FERRY DDS” Practice Location

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