Robert R Ferguson, DDS Valid NPI
Individual provider · Dentist · Gordon, NE
- NPI
- 1154532349
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 5000 (NE)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-05-27
- Last updated
- 2007-07-08
Practice location
202 N Main St
Gordon, NE 69343-1240
(308) 282-1205