# FERGUSON KUTANSKY, PLLC

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

## Provider details

- **NPI number:** 1982979613
- **Authorized official:** DR. JASON E FERGUSON DDS (OWNER)
- **Authorized official phone:** (775) 426-8293

## Contact information

- **Practice address:** 56 COMMERCIAL WAY, FALLON, NV 89406-2600
- **Practice address phone:** (775) 423-9990
- **Practice address fax:** (775) 423-9992
- **Mailing address:** 56 COMMERCIAL WAY, FALLON, NV 89406-2600
- **Mailing address phone:** (775) 423-9990
- **Mailing address fax:** (775) 423-9992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4641 | NV | Yes |
| 1223G0001X | General Practice Dentistry | 5064 | NV | — |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1174678163 | INDIVIDUAL NATIONAL PROVIDER \# | NV |
| 01 | — | 1528113594 | INDIVIDUAL NATIONAL PROVIDER \# | NV |