Provider Demographics
NPI:1487466777
Name:CRYSTAL D FERGUSON DDS PLLC
Entity type:Organization
Organization Name:CRYSTAL D FERGUSON DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MADISON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-358-4844
Mailing Address - Street 1:1237 16TH ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-4261
Mailing Address - Country:US
Mailing Address - Phone:828-358-4844
Mailing Address - Fax:828-358-4845
Practice Address - Street 1:1237 16TH ST NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-4261
Practice Address - Country:US
Practice Address - Phone:828-358-4844
Practice Address - Fax:828-358-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental