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Dr. Koby Ferguson, DDS
General Practice Dentistry in Portsmouth, Virginia
NPI 1770852022

Koby Ferguson is a General Practice Dentistry based in Portsmouth, VA and is specialized in General Practice. Koby Ferguson practices in Portsmouth, VA and has the professional credentials of DDS. The NPI Number for Koby Ferguson is 1770852022 and holds a License No. 60898 (Virginia).

The current practice location address for Koby Ferguson is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 785-452-0731.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770852022
Provider Name
Koby Ferguson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
Phone Number
785-452-0731
Fax Number
Provider Enumeration Date
12/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
785-452-0731
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
785-452-0731
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0438000482 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
60898 (Kansas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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