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Contact Information

FERGUS ORTHODONTICS PLLC
801 OSLER DRIVE
SUITE D
JONESBORO, AR72401
 Phone: 870-336-3366
 Fax: 870-336-3366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for FERGUS ORTHODONTICS PLLC

NPI # 1003194317
LBN Legal business name FERGUS ORTHODONTICS PLLC
Authorized official KELLY GWYNNE FERGUS - (SOLE MBR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2011
Last updated 08/03/2011 - About 15 years ago
Identifiers
AR License # 115
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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