Individual
MR. BRETT L FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-0500
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2634
(816) 218-2500
(816) 421-7379
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13469
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402268007
—
MO
Enumeration date
01/10/2006
Last updated
11/09/2016
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