| Steve Ball Dds Pc | |
|
138 Highland Drive Lebanon VA 24266 | |
| (276) 889-5141 | |
| (276) 889-0770 |
| Full Name | Steve Ball Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 138 Highland Drive, Lebanon, Virginia |
| Authorized Official Name and Position | Mark Steven Ball (PRESIDENT) |
| Authorized Official Contact | 2768895141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Ball Dds Pc Po Box 2518 Lebanon VA 24266-2518 Ph: (276) 889-5141 | Steve Ball Dds Pc 138 Highland Drive Lebanon VA 24266 Ph: (276) 889-5141 |
| NPI Number | 1407900764 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 07/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407900764 | NPI | - | NPPES |
| 8660 | Other | VA | PROVIDER NUMBER |
| 9178536 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401-005953 (Virginia) | Primary |
Justin Ferguson, D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Highlands Drive, Lebanon, VA 24266 Phone: 276-889-5141 Fax: 276-889-0770 | |
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 |