Individual
JOSEPH PAUL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3859 GRAVOIS AVE, SAINT LOUIS, MO 63116-4657
(314) 382-2002
(314) 382-2411
Mailing address
508 STIRLING PLACE DR, MANCHESTER, MO 63021-5325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2026022898
MO
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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