Richard E. Ferguson D.D.S.,M.S. Pa

LBN: Richard E. Ferguson D.D.S.,M.S. Pa
Richard E. Ferguson D.D.S.,M.S. Pa is an health care organization with primary practice located at 813 Stilson Rd Ste C , Boise ID 83703-5119. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Richard E. Ferguson D.D.S.,M.S. Pa can be contacted via phone (208) 344-0908, or through Ferguson, Richard E. via phone (208) 344-0908.

Contact Information

Primary practice address
813 Stilson Rd Ste C Boise ID 83703-5119
Phone: (208) 344-0908
Fax: (208) 338-0306
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Richard E. D.D.S., M.S.
Phone: (208) 344-0908

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D-1669-PE Idaho

Profile Details

NPI number 1588827125
LBN Legal business name Richard E. Ferguson D.D.S.,M.S. Pa
DBA Doing business as
Authorized official Ferguson, Richard E. D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2008
Last updated Jul 3rd, 2008 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1588827125 NPPES
Idaho MEDICAID 000195500

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