Individual
DR. ROBERT R FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 N MAIN ST, GORDON, NE 69343-1240
(308) 282-1205
Mailing address
202 N MAIN ST, GORDON, NE 69343-1240
(308) 282-1205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-0642874
EMPLOYEER ID NUMBER
NE
Enumeration date
05/27/2007
Last updated
07/08/2007
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