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Individual

DR. ROBERT WADE FERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
619 N 500 W, PROVO, UT 84601-1547
(801) 374-8002
Mailing address
1508 E SKYLINE DR, SUITE #300, OGDEN, UT 84405-4846
(801) 334-9258
(801) 334-9273

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
350703
UT
1223P0300X
Periodontics
S4-138C
NV

Other

Enumeration date
11/09/2006
Last updated
11/14/2025
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