OrganizationActive
Fergus Orthodontics PLLC
NPI 1003194317 · Orthodontics and Dentofacial Orthopedics Dentistry · Jonesboro, AR
Provider details
- NPI number
- 1003194317
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kelly Gwynne Fergus, Sole Mbr(870) 336-3366
- License
- 115 (AR)
Specialties & taxonomies
Dental Providers
Practice location
801 Osler Drive
Suite D
Jonesboro, AR 72401
Phone: (870) 336-3366
Fax: (870) 336-3366
Approximate (ZIP-level) locationGet directions
Mailing address
801 Osler Drive
Jonesboro, AR 72401
Registry dates
- Enumerated
- 2011-08-03
- Last updated
- 2011-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.