Provider Demographics
NPI:1841402344
Name:FERGUSON, MILAS NOLAND (DDS)
Entity Type:Individual
Prefix:DR
First Name:MILAS
Middle Name:NOLAND
Last Name:FERGUSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 N MAIN ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786
Mailing Address - Country:US
Mailing Address - Phone:828-452-5807
Mailing Address - Fax:828-452-2447
Practice Address - Street 1:370 N MAIN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786
Practice Address - Country:US
Practice Address - Phone:828-452-5807
Practice Address - Fax:828-452-2447
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice