| Ferguson Dental Llc | |
|
46 S Florissant Rd Ferguson MO 63135-2334 | |
| (314) 522-6300 | |
| Not Available |
| Full Name | Ferguson Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 46 S Florissant Rd, Ferguson, Missouri |
| Authorized Official Name and Position | Victor L Clark (DENTIST/OWNER) |
| Authorized Official Contact | 3145226300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ferguson Dental Llc 46 S Florissant Rd Ferguson MO 63135-2334 Ph: (314) 522-6300 | Ferguson Dental Llc 46 S Florissant Rd Ferguson MO 63135-2334 Ph: (314) 522-6300 |
| NPI Number | 1184913295 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184913295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |