Organization
JOHN H FERGUSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H FERGUSON DDS (OWNER PRESIDENT)
(478) 453-3445
Entity
Organization
Contact information
Practice address
600 NORTH COBB STREET, MILLEDGEVILLE, GA 31061
(478) 453-3445
(478) 453-3447
Mailing address
PO BOX 850, MILLEDGEVILLE, GA 31059-0850
(478) 453-3445
(478) 453-3447
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7306
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00045768A
—
GA
Enumeration date
11/27/2006
Last updated
08/22/2020
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