What is Konrad Ferguson's NPI number?

The NPI number assigned to this healthcare provider is 1710210315, enumerated as a individual on September 14, 2009.

What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

DR. KONRAD DAVID FERGUSON DDS - NPI 1710210315

Q: Where is the provider located?

The provider is located at BLDG 9900, 2ND FLOOR U.S. ARMY DENTAL ACTIVITY - FORT LEWIS TACOMA, WA 98431 and the phone number is (253) 968-4039.

On this page

About Dr. Konrad David Ferguson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KONRAD DAVID FERGUSON DDS (NPI 1710210315) is an individual general practice provider in Tacoma, Washington, licensed in Washington (DE60112858) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1710210315

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KONRAD DAVID FERGUSONCredential: DDS

Location AddressBLDG 9900, 2ND FLOOR, U.S. ARMY DENTAL ACTIVITY - FORT LEWISTacoma, WA 98431-1100

Mailing AddressBldg 9900, 2nd Floor, U.s. Army Dental Activity - Fort LewisTacoma, WA 98431-1100 · (253) 968-4039 · Fax (253) 968-5919

Phone(253) 968-4039

Fax(253) 968-5919

Sole ProprietorNo

Enumeration DateSeptember 14, 2009

✔ NPI 1710210315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE60112858

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.

BLDG 9900, 2ND FLOOR, Tacoma, WA 98431

Open in Google Maps ↗