DR. KELLY-GWYNNE MASON FERGUS DDS, MDS
NPI 1093979254
Dentist - Orthodontics and Dentofacial Orthopedics in Jonesboro, AR

Active since July 16, 2008
2812 HARRISBURG RD, JONESBORO, AR 72401(870) 336-3366(870) 336-3360 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly-gwynne Mason Fergus Dds, Mds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY-GWYNNE MASON FERGUS DDS, MDS (NPI 1093979254) is an individual orthodontics and dentofacial orthopedics provider in Jonesboro, Arkansas, licensed in Arkansas (3659) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1093979254
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. KELLY-GWYNNE MASON FERGUSCredential: DDS, MDS
Location Address2812 HARRISBURG RDJonesboro, AR 72401-6081
Mailing Address2812 Harrisburg RdJonesboro, AR 72401-6081 · (870) 336-3366 · Fax (870) 336-3360
Fax(870) 336-3360
Sole ProprietorYes
Enumeration DateJuly 16, 2008
Last NPPES UpdateJune 2, 2015
NPI 1093979254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in AR · 3659
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
2812 HARRISBURG RD, Jonesboro, AR 72401

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly-gwynne Fergus's NPI number?

The NPI number for Kelly-gwynne Fergus is 1093979254. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Kelly-gwynne Fergus located?

Kelly-gwynne Fergus practices at 2812 Harrisburg Rd, Jonesboro, AR 72401. The listed phone number is (870) 336-3366.

What is Kelly-gwynne Fergus's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Kelly-gwynne Fergus accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Kelly-gwynne Fergus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly-gwynne Fergus was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.