Individual
SCOTT GENE FERGUSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
122 S. MOUNTAIN RD., FRUIT HEIGHTS, UT 84037
(801) 989-1492
Mailing address
122 S. MOUNTAIN RD., FRUIT HEIGHTS, UT 84037
(801) 989-1492
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
202782
CO
1223P0300X
Periodontics
Primary
272251-9922
UT
Other
Enumeration date
11/29/2006
Last updated
03/20/2017
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