| Justin Ferguson, D.d.s., Pc | |
|
138 Highlands Drive Lebanon VA 24266 | |
| (276) 889-5141 | |
| (276) 889-0770 |
| Full Name | Justin Ferguson, D.d.s., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 138 Highlands Drive, Lebanon, Virginia |
| Authorized Official Name and Position | Justin Warren Ferguson (DENTIST) |
| Authorized Official Contact | 2768895141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Ferguson, D.d.s., Pc Po Box 2518 Lebanon VA 24266-2518 Ph: (276) 889-5141 | Justin Ferguson, D.d.s., Pc 138 Highlands Drive Lebanon VA 24266 Ph: (276) 889-5141 |
| NPI Number | 1124259668 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 07/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124259668 | NPI | - | NPPES |
| 9177664 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401-410923 (Virginia) | Primary |
Russell County Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Highland Dr Ste A, Lebanon, VA 24266 Phone: 276-889-7621 Fax: 276-889-7695 | |
Steve Ball Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Highland Drive, Lebanon, VA 24266 Phone: 276-889-5141 Fax: 276-889-0770 |