Most Relevant Information
Provider Data
NPI Number: | 1003433806 |
Provider Name: | MATTHEW WILLIAM FERGUSON DDS |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | 291600489 |
Most Important Dates
Enumeration Date: | 06/29/2020 |
Last Updated: | 06/29/2020 |
Provider Practice Location
8670 FERRY ST
MONTAGUE
MI
494371208
Practice Location Phone/Fax
Phone: | 2318944820 |
Fax: |
Provider Mailing Location
8670 FERRY ST
MONTAGUE
MI
494371208
Provider Mailing Phone/Fax
Phone: | 2318944820 |
Fax: |