Provider Demographics
NPI:1104080605
Name:FERGUSON, MORGAN COLBY (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:COLBY
Last Name:FERGUSON
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8850 SIX PINES DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-298-3244
Mailing Address - Fax:281-298-3749
Practice Address - Street 1:8850 SIX PINES DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-298-3244
Practice Address - Fax:281-298-3749
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX243011223P0300X
FLDN17170122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist