| Paul Ferguson, Dmd, Llc | |
|
479 River Rd Fair Haven NJ 07704-3031 | |
| (732) 747-1224 | |
| (732) 747-0145 |
| Full Name | Paul Ferguson, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 479 River Rd, Fair Haven, New Jersey |
| Authorized Official Name and Position | Paul Ferguson (PRESIDENT) |
| Authorized Official Contact | 7327471224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Ferguson, Dmd, Llc 479 River Rd Fair Haven NJ 07704-3031 Ph: (732) 747-1224 | Paul Ferguson, Dmd, Llc 479 River Rd Fair Haven NJ 07704-3031 Ph: (732) 747-1224 |
| NPI Number | 1982876280 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982876280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01982100 (New Jersey) | Primary |