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Active NPI 1982979613 Organization (Entity Type 2)

Ferguson Kutansky, Pllc

Dentist - General Practice • Fallon, NV

About Ferguson Kutansky, Pllc NPI 1982979613 Summary

Ferguson Kutansky, Pllc is a verified healthcare organization specializing in Dentist - General Practice operating in Fallon, NV. Located at 56 COMMERCIAL WAY, this facility provides patient care and medical services under National Provider Identifier (NPI) 1982979613.

Administrative operations and authorized compliance are overseen by Jason Ferguson (Owner).

Facility Location & Contact Primary Location

Facility Address

56 Commercial Way

Fallon, NV 894062600

Telephone 7754239990
Fax 7754239992

Authorized Official Information

Authorized Contact Name

DR. Jason Ferguson , DDS

Title / Role

Owner

Official Telephone

7754268293

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 13, 2012

Registered at 56 COMMERCIAL WAY, FALLON, NV 894062600 (Tel: 7754239990)

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Updated Business Mailing Address March 13, 2012

Registered at 56 COMMERCIAL WAY, FALLON, NV 894062600 (Tel: 7754239990)

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Organization / Clinic Name Updated March 13, 2012

Operating as FERGUSON KUTANSKY, PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2012

Dentist (License #4641 in NV)

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Initial NPI Registration & Enumeration March 13, 2012

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1982979613
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 13, 2012
Last Update: March 13, 2012

Mailing Address

56 Commercial Way

Fallon, NV 894062600

Phone: 7754239990

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.