Individual provider · Type 1 NPI
Michael Gray Ferguson, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Lafayette, LA
NPI number
1215953575
Active
Practice location
200 Republic Ave, Suite I
Lafayette, LA 70508-6826
Fax (337) 988-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 5243 (LA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
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About NPI 1215953575
Michael Gray Ferguson, DDS, MD's National Provider Identifier is 1215953575, issued on Jul 13, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lafayette, LA. The record was last updated on Jul 8, 2007.