MEDICARE: DAVID R. FERRY D.D.S., P.C.

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	0401006080	VA

General Provider Information

NPI Number	:	1598825630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID R. FERRY D.D.S., P.C.

Provider Business Mailing Address
First Line	:	13030 RIVERS BEND RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2564
Country	:	US
Telephone Number	:	804-530-3200
Fax Number	:	804-530-1499

Provider Business Practice Location Address
First Line	:	13030 RIVERS BEND RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2564
Country	:	US
Telephone Number	:	804-530-3200
Fax Number	:	804-530-1499

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID ROY FERRY
Credential	:	D.D.S.
Telephone Number	:	804-530-3200

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	08/22/2020

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