Ferguson, Fred Shakespeare

Ferguson, Fred Shakespeare is an individual health care provider with primary practice located at Stony Brook Dental Associates Sullivan Hall Rm 170, Stony Brook NY 11794-0001. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Ferguson, Fred Shakespeare can be contacted via phone (631) 632-8971.

Contact Information

Primary practice address

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

Phone: (631) 632-8971

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Pediatric Dentistry	1223P0221X	031804	New York

Profile Details

NPI number	1194856872
LBN Legal business name	Ferguson, Fred Shakespeare
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Mar 7th, 2007
Last updated	Jul 9th, 2007 - about 18 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1194856872	NPPES
New York	MEDICAID	00675654

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