MEDICARE: DR. JOSEPH ANTHONY FERRO D.D.S.

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	1223G0001X	General Practice Dentistry	13329	TX

General Provider Information

NPI Number	:	1306051693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ANTHONY FERRO D.D.S.

Provider Business Mailing Address
First Line	:	941 DONALDSON
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-3225
Country	:	US
Telephone Number	:	210-732-3522
Fax Number	:	210-732-5438

Provider Business Practice Location Address
First Line	:	941 DONALDSON AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-3225
Country	:	US
Telephone Number	:	210-732-3522
Fax Number	:	210-732-5438

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

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	07/08/2007

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