Ferguson Dental

LBN: Cherry Street Services, Inc.
Ferguson Dental is an health care organization with primary practice located at 101 Sheldon Blvd Se Ste 1 , Grand Rapids MI 49503-4950. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Cherry Street Services, Inc. can be contacted via phone (616) 776-2340, or through Blackmon, Tasha via phone (616) 776-2120.

Contact Information

Primary practice address
101 Sheldon Blvd Se Ste 1 Grand Rapids MI 49503-4950
Phone: (616) 776-2340
Fax: (616) 776-2341
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Tasha
Phone: (616) 776-2120

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1841449105
LBN Legal business name Cherry Street Services, Inc.
DBA Doing business as Ferguson Dental
Authorized official Blackmon, Tasha
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2008
Last updated Aug 25th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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