Individual
DR. JERRY GLYNN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
116 SOUTH DR STE 102, NATCHITOCHES, LA 71457-5055
(318) 238-3335
(318) 238-3339
Mailing address
116 SOUTH DR STE 102, NATCHITOCHES, LA 71457-5055
(318) 238-3335
(318) 238-3339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2100
LA
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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