Fergus Orthodontics Pllc

NPI #1003194317 in Jonesboro, Arkansas

Provider Information

NPI Number
1003194317
Entity Type
Organization
Organization Name
Fergus Orthodontics Pllc
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Aug 3, 2011
Last Updated
Aug 3, 2011

Practice Location

Address
801 OSLER DRIVE
Address 2
SUITE D
ZIP Code
72401
Phone
(870) 336-3366

Authorized Official

Name
KELLY GWYNNE MASON FERGUS, DDS,MS
Title
SOLE MBR
Phone
(870) 336-3366

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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