NPI 1003194317
Fergus Orthodontics PLLC
Practice location
- Address
- 801 Osler Drive Suite D, Jonesboro, AR 72401
- Phone
- (870) 336-3366
- Fax
- (870) 336-3366
Authorised official
- Name
- Kelly Gwynne Mason Fergus
- Title
- Sole Mbr
- Phone
- (870) 336-3366
Registered specialties
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
Registry record
- NPI
- 1003194317
- Entity type
- Organization
- NPI issued
- 3 Aug 2011
- Record last updated
- 3 Aug 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.