Individual
SEAN C.N. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
244 LE PHILLIP CT, CONCORD, NC 28025-2954
(704) 786-8317
Mailing address
1035 BROOKLINE DR, HUNTERSVILLE, NC 28078-0617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601773
UNITED CONCORDIA
NC
05
—
899012K
—
NC
01
—
9012K
BCBS OF NC
NC
Enumeration date
03/28/2007
Last updated
07/08/2007
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