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Dr. Fred Shakespeare Ferguson, DDS
Pediatric Dentist in Stony Brook, New York
NPI 1194856872

Fred Shakespeare Ferguson is a Pediatric Dentist based in Setauket, NY and is specialized in Pediatric Dentistry. Fred Shakespeare Ferguson practices in Stony Brook, NY and has the professional credentials of DDS. The NPI Number for Fred Shakespeare Ferguson is 1194856872 and holds a License No. 031804 (New York).

The current practice location address for Fred Shakespeare Ferguson is Stony Brook Dental Associates, Stony Brook, NY and can be reached out via phone at 631-632-8971.

Location: Stony Brook Dental Associates, Stony Brook, NY, 11733-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194856872
Provider Name
Fred Shakespeare Ferguson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Stony Brook Dental Associates, Stony Brook, NY, 11733-3905
Phone Number
631-632-8971
Fax Number
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00675654 05 NY
institution
Provider Business Practice Location Address Details
Address
Stony Brook Dental Associates
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-632-8971
Fax Number
person
Provider Business Mailing Address Details
Address
Stony Brook Dental Associates
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-632-8971
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
031804 (New York)
Definition
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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