# FERGUSON DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glow Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124719166
- **Authorized official:** MELISSA SIGMAN (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (972) 523-0420

## Contact information

- **Practice address:** 2572 GUS THOMASSON RD, DALLAS, TX 75228-3017
- **Practice address phone:** (469) 481-1189
- **Mailing address:** 1150 E ELDORADO PKWY STE 100, LITTLE ELM, TX 75068-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2023
- **Last updated:** 05/22/2023