Ferguson, Koby
Ferguson, Koby is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / General Practice. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ferguson, Koby can be contacted via phone (785) 452-0731.Contact Information
Primary practice address
620 John Paul Jones Cir
Portsmouth VA 23708-2111
Phone: (785) 452-0731
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 60898 | Kansas |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0438000482 | Virginia |
Dental Providers / General Practice | 1223G0001X | 60898 | Kansas |
Profile Details
NPI number | 1770852022 |
---|---|
LBN Legal business name | Ferguson, Koby |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2011 |
Last updated | Jun 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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