Todd S. Afferica, DDS – General Practice Dentistry

Key facts

NPI: 1790723914
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 011071 (GA)
Practice address: 4720 Peachtree Industrial Blvd
Suite 302
Norcross, GA 30071-5735
Phone: (770) 449-1497
Fax: (770) 449-7992
NPI assigned: Jun 2, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Febo Dentistry PC General Practice Dentistry · Berkeley Lake, GA · NPI 1720503709

NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
011071	GA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Febo Dentistry PC	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	011071	GA	Yes

Addresses

Primary practice location

4720 Peachtree Industrial Blvd
Suite 302
Norcross, GA 30071-5735

Mailing address

4720 Peachtree Industrial Blvd
Suite 302
Norcross, GA 30071-5735
Phone (770) 449-1497

Other providers in Norcross, GA

All providers in Norcross, GA · General Practice Dentistry in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.