Individual
DR. DAVID FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
045444-1
NY
122300000X
Dentist
Primary
DS035125
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018777200001
—
PA
05
—
02190861
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039851
MEDICARE GROUP
PA
Enumeration date
03/24/2006
Last updated
03/27/2008
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