Ferguson, Larry Jethro
Ferguson, Larry Jethro is an individual health care provider with primary practice located at 1812 Wallace School Road, Suite 400, Charleston SC 29407-4517. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ferguson, Larry Jethro can be contacted via phone (843) 571-4411.Contact Information
Primary practice address
1812 Wallace School Road, Suite 400
Charleston SC 29407-4517
Phone: (843) 571-4411
Fax: (843) 571-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2262 | South Carolina |
Profile Details
| NPI number | 1659322121 |
|---|---|
| LBN Legal business name | Ferguson, Larry Jethro |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659322121 | NPPES |
| South Carolina | MEDICAID | Z22627 |
Popular Providers
-
Middleton, Stewart
1605 Ashley River Rd , Charleston SC 29407-5901 -
Cordray, Belinda Liles
1875 Savage Road , Charleston SC 29407 -
Engel, Michael J.
1318 Ashley River Rd , Charleston SC 29407-5304 -
Hudgens, Roy Edward
1051 Gardner Rd Suite C, Charleston SC 29407-5747 -
Haile, Robert W.
1575 Savannah Hwy Suite #1, Charleston SC 29407-7842 -
Karesh, Edmund L
651 St Andrews Blvd , Charleston SC 29407 -
Morrow, Robert Louis
18 A Leinbach Dr. , Charleston SC 29407-7916 -
Reeves, Rogers Colyer
159 Wentworth St , Charleston SC 29401-1731