Individual
SCOTT J. FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2837 STABLE DR, STE A, KIMBALL, MI 48074-1441
(810) 985-3301
Mailing address
2837 STABLE DRIVE, STE A, KIMBALL, MI 48074
(810) 985-3301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015182
MI
Other
Enumeration date
02/01/2007
Last updated
04/24/2015
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