Jason Earl Ferguson

NPI #1528113594 in Fallon, Nevada

Provider Information

NPI Number: 1528113594
Entity Type: Individual
Name: Jason Earl Ferguson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 320 W A ST
City: Fallon
State: Nevada
ZIP Code: 89406-2947
Phone: (775) 423-6547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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