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General NPI Number Information
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NPI Number | 1568166031
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Entity Type | Individual
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Provider Name | WILLIAM FERGUSON DDS
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Gender | Male
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 2430 S INTERSTATE 35 E STE 178
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City | DENTON
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State | TX
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Zip | 76205-4944
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Country | US
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Telephone | 940-891-0389
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 VALLEY VISTA DR
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City | HOUSTON
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State | TX
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Zip | 77077-4939
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Country | US
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Telephone | 832-541-4632
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 39680
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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