Fergus, Kelly-Gwynne Mason
Fergus, Kelly-Gwynne Mason is an sole proprietor health care provider with primary practice located at 2812 Harrisburg Rd , Jonesboro AR 72401-6081. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Fergus, Kelly-Gwynne Mason can be contacted via phone (870) 336-3366.Contact Information
Primary practice address
2812 Harrisburg Rd
Jonesboro AR 72401-6081
Phone: (870) 336-3366
Fax: (870) 336-3360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 3659 | Arkansas |
Profile Details
| NPI number | 1093979254 |
|---|---|
| LBN Legal business name | Fergus, Kelly-Gwynne Mason |
| Credentials | DDS, MDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Jun 2nd, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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