Sandra Ferguson, RDH
Individual provider Active NPI Dental Hygienist · Crownpoint, NM
NPI 1902020274 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902020274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 202360 (CO)
- Practice address
- Highway 371 Junction Route 9
Crownpoint, NM 87313-0358 - Phone
- (505) 786-5291
- Fax
- (505) 786-6440
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202360 | CO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 202360 | CO | Yes |
Addresses
Primary practice location
Highway 371 Junction Route 9
Crownpoint, NM 87313-0358
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291
Other providers in Crownpoint, NM
- Michael Davis
- DHHS PHS Naihs Crownpoint Hospital
- Eagle Air Med
- Darlington Friday Egbu
- Monica Eggleston
- Raul Flores
- Halley Marie Friedeman
- Eugene Guei
- Tania Hurlbutt
- Tiffani Jackson
All providers in Crownpoint, NM · Dental Hygienist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.