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Individual
DR. HENRY W FERGUSON
Active
Individual
DR. HENRY W FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
3663
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN012107
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DNGA000189
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00896827C
—
GA
05
—
ZG2107
—
SC
Enumeration date
05/05/2006
Last updated
10/22/2021
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