| Scott G Ferguson Jr DDS PC | |
|
1508 E Skyline Dr Ste 300 Ogden UT 84405-4855 | |
| (801) 334-9258 | |
| Not Available |
| Full Name | Scott G Ferguson Jr DDS PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1508 E Skyline Dr Ste 300, Ogden, Utah |
| Authorized Official Name and Position | Benjamin E Tuinei (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6027506897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott G Ferguson Jr DDS PC 1508 E Skyline Dr Ste 300 Ogden UT 84405-4855 Ph: (801) 334-9258 | Scott G Ferguson Jr DDS PC 1508 E Skyline Dr Ste 300 Ogden UT 84405-4855 Ph: (801) 334-9258 |
| NPI Number | 1063093722 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063093722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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