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Organization
SCOTT J. FERGUSON DDS & ASSOCIATES PLLC
Active
Organization
SCOTT J. FERGUSON DDS & ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT J. FERGUSON DDS (PRESIDENT/OWNER)
(810) 985-3301
Entity
Organization
Contact information
Practice address
2837 STABLE DRIVE, STE A, KIMBALL, MI 48074
(810) 985-3301
(855) 747-1702
Mailing address
2837 STABLE DRIVE, STE A, KIMBALL, MI 48074
(810) 985-3301
(855) 747-1702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901018706
MI
122300000X
Dentist
2901021197
MI
1223G0001X
General Practice Dentistry
Primary
2901015182
MI
261QD0000X
Dental Clinic/Center
015182
—
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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