| Richard E. Ferguson D.d.s.,m.s. Pa | |
|
813 Stilson Rd Ste C Boise ID 83703-5119 | |
| (208) 344-0908 | |
| (208) 338-0306 |
| Full Name | Richard E. Ferguson D.d.s.,m.s. Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 813 Stilson Rd Ste C, Boise, Idaho |
| Authorized Official Name and Position | Richard E. Ferguson (OWNER) |
| Authorized Official Contact | 2083440908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E. Ferguson D.d.s.,m.s. Pa 813 Stilson Rd Ste C Boise ID 83703-5119 Ph: (208) 344-0908 | Richard E. Ferguson D.d.s.,m.s. Pa 813 Stilson Rd Ste C Boise ID 83703-5119 Ph: (208) 344-0908 |
| NPI Number | 1588827125 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588827125 | NPI | - | NPPES |
| 000195500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D-1669-PE (Idaho) | Primary |
Idaho Smiles Assoc. Plls Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Idaho St, Boise, ID 83702 Phone: 208-343-7271 | |
Treasure Valley Oral And Facial Surgery Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 Phone: 208-343-0909 Fax: 208-343-6282 | |
A Reason To Smile, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2803 N Bogus Basin Rd, Boise, ID 83702 Phone: 208-343-1393 Fax: 208-388-8462 | |
Emerald Smiles Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 N Milwaukee St Ste 110, Boise, ID 83704 Phone: 208-593-3221 | |
Boise Smiles Youth Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8744 Fairview Ave, Boise, ID 83704 Phone: 208-322-3010 Fax: 208-322-9273 | |
Quality Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 W Emerald, Suite 105, Boise, ID 83704 Phone: 208-376-7954 Fax: 208-323-4859 | |
Affordable Dentures & Implants - Boise Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 S Entertainment Ave, Boise, ID 83709 Phone: 208-321-4937 |