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Contact Information

JUSTIN FERGUSON, D.D.S., PC
138 HIGHLANDS DRIVE
LEBANON, VA24266
 Phone: 276-889-5141
 Fax: 276-889-0770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JUSTIN FERGUSON DDS PC · (Female)

NPI # 1124259668
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2009
Last updated 07/31/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0401-410923
  • VA Medicaid 9177664
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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