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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, D.D.S., PC

NPI Number 1124259668
LBN Legal business name JUSTIN FERGUSON, D.D.S., PC
Authorized official JUSTIN FERGUSON - (DENTIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/31/2009
Last updated 07/31/2009 - About 17 years ago
Identifiers
VA License # 0401-410923
VA Medicaid 9177664
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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