Individual provider · Type 1 NPI

Fred Shakespeare Ferguson, DDS

Pediatric Dentistry · Stony Brook, NY

NPI number 1194856872 Active

Practice location

Stony Brook Dental Associates, Sullivan Hall Rm 170
Stony Brook, NY 11794-0001

Call (631) 632-8971 Map

Mailing address

10 Braemer Rd
Setauket, NY 11733-3905

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X031804 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1194856872

Fred Shakespeare Ferguson, DDS's National Provider Identifier is 1194856872, issued on Mar 7, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 9, 2007.