Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY-GWYNNE MASON FERGUS, DDS, MDS
Active Sole ProprietorDR. KELLY-GWYNNE MASON FERGUS, DDS, MDS is a Orthodontics healthcare provider located in JONESBORO, Arkansas. NPI 1093979254 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · JONESBORO, AR
Registration Details
- NPI Number
- 1093979254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2008 (18.04014879296 yrs)
- Last Updated
- Jun 2, 2015
- License
-
3659 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2812 HARRISBURG RDJONESBORO, AR, 724016081Browse AR providers · Browse ZIP 72401
- Phone
- 8703363366
- Fax
- 8703363360
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in JONESBORO, AR
| Name | Credential | NPI |
|---|---|---|
| DR. KOLIN EMRYS WEAVER | DDS | 1942471271 |
| DR. TERRY SCOTT ALLEN | — | 1679748958 |
| DR. JIM A WAGNER | DDS, MS | 1508013210 |
| BUFFORD SUFFRIDGE | — | 1457649220 |
| DR. SAVANAH L STEWART | DDS | 1932756608 |
| DR. TAYLOR ASHTON CURD | DDS, MS | 1326998915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.