Ferguson, Brett L

Ferguson, Brett L is an individual health care provider with primary practice located at 2101 Charlotte St , Kansas City MO 64108-2727. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ferguson, Brett L can be contacted via phone (816) 404-0500.

Contact Information

Primary practice address
2101 Charlotte St Kansas City MO 64108-2727
Phone: (816) 404-0500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 13469 Missouri

Profile Details

NPI number 1770562738
LBN Legal business name Ferguson, Brett L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Nov 9th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770562738 NPPES
Missouri MEDICAID 402268007

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