Dr Justin W Ferguson, DDS is a
Dentist - General Practice based in Lebanon, Virginia. Dr Justin W Ferguson is licensed to practice in Virginia (license number 0401-410923) and his current practice location is
138 Highland Drive, Lebanon, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 889-5141.
NPI number for Dr Justin W Ferguson is 1619038767 and his current mailing address is 833 Glenview Dr, Abingdon, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619038767.
Healthcare Provider's Profile
| Full Name | Dr Justin W Ferguson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 138 Highland Drive, Lebanon, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619038767
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Justin W Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619038767 | NPI | - | NPPES |
| 9177664 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 0401-410923 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Justin W Ferguson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Justin W Ferguson, DDS
833 Glenview Dr,
Abingdon, VA 24211-3669
Ph: (276) 356-8042 | Dr Justin W Ferguson, DDS
138 Highland Drive,
Lebanon, VA 24266
Ph: (276) 889-5141 |
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