Charles Ray Ferguson in Beaumont - General Practice
Charles Ray Ferguson - NPI 1720100282
Charles Ray Ferguson is a General Practice in Beaumont, Texas. Charles Ray Ferguson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Ray Ferguson is 1720100282. The last update date is 2007-07-08.
Charles Ray Ferguson's current location address is 4410 Phelan Blvd, Beaumont, Texas. You can contact this provider via phone number 4098995470 and fax number 4098998670. The mailing address for Charles Ray Ferguson is 4410 Phelan Blvd, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Ray Ferguson |
|---|---|
| Address | 4410 Phelan Blvd, Beaumont, Texas |
| Phone Number | 4098995470 |
| Fax Number | 4098998670 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720100282 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4410 Phelan Blvd |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777072115 |
| Phone Number | 4098995470 |
| Fax Number | 4098998670 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14048 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Charles Ray Ferguson by the Centers for Medicare & Medicaid Services (CMS)?
The Charles Ray Ferguson has been assigned the NPI (National Provider Identifier) 1720100282. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Charles Ray Ferguson?
The Charles Ray Ferguson is physically situated at 4410 Phelan Blvd, in the city of Beaumont, state of TX, with the postal code 777072115.
What is Charles Ray Ferguson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Ray Ferguson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date was the 1720100282 assigned to Charles Ray Ferguson?
The Charles Ray Ferguson was issued its 1720100282 on 2007-04-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charles Ray Ferguson most recently updated?
The details pertaining to the Charles Ray Ferguson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.