Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972618957 Individual Practitioner Male Practitioner

Dr. Jack E Ferguson , DDS

Dentist - General Practice • Raytown, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jack Ferguson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Raytown, MO. Practice services are available at 10803 A E 350 HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10803 A E 350 Hwy

Raytown, MO 64138

Telephone 8163562476
Fax 8163531430
Associated Practice Facility / Clinic
🏢 Lighthouse Dental Llc Facility NPI 1710045224

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Raytown, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Raytown, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 13815

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Molly Frew Hodges

Dentist - General Practice

NPI 1376658252
NPI 1740832443

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10803 A E 350 HWY, RAYTOWN, MO 64138 (Tel: 8163562476)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10803 A E 350 HWY, RAYTOWN, MO 64138 (Tel: 8163562476)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK FERGUSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #13815 in MO)

🟢
Initial NPI Registration & Enumeration August 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972618957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

10803 A E 350 Hwy

Raytown, MO 64138

Phone: 8163562476

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.