Organization
JUSTIN FERGUSON, D.D.S., PC
Active
Parent organization
BALL & FERGUSON DENTISTRY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BALL & FERGUSON DENTISTRY, LLC
Authorized official
DR. JUSTIN WARREN FERGUSON D.D.S. (DENTIST)
(276) 889-5141
Entity
Organization
Contact information
Practice address
138 HIGHLANDS DRIVE, LEBANON, VA 24266
(276) 889-5141
(276) 889-0770
Mailing address
PO BOX 2518, LEBANON, VA 24266-2518
(276) 889-5141
(276) 889-0770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401-410923
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9177664
—
VA
Enumeration date
07/31/2009
Last updated
07/31/2009
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