Organization
SCOTT G FERGUSON JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN E TUINEI (CREDENTIALING MANAGER)
(602) 750-6897
Entity
Organization
Contact information
Practice address
1508 E SKYLINE DR STE 300, OGDEN, UT 84405-4855
(801) 334-9258
Mailing address
1508 E SKYLINE DR STE 300, OGDEN, UT 84405-4855
(801) 334-9258
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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