Organization
PAUL FERGUSON, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FERGUSON DMD (PRESIDENT)
(732) 747-1224
Entity
Organization
Contact information
Practice address
479 RIVER RD, FAIR HAVEN, NJ 07704-3031
(732) 747-1224
(732) 747-0145
Mailing address
479 RIVER RD, FAIR HAVEN, NJ 07704-3031
(732) 747-1224
(732) 747-0145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01982100
NJ
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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