Individual
DR. WESLEY MICHAEL FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
405 ACADEMY RD, STARKVILLE, MS 39759-4019
(662) 323-2876
(662) 323-4876
Mailing address
PO BOX 1407, STARKVILLE, MS 39760-1407
(662) 323-2876
(662) 323-4876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3327-05
MS
Other
Enumeration date
05/01/2007
Last updated
01/05/2009
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