DR. Fred Shakespeare Ferguson, DDS
NPI #1194856872 in Stony Brook, New York
Provider Information
- NPI Number
- 1194856872
- Entity Type
- Individual
- Name
- DR. Fred Shakespeare Ferguson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- STONY BROOK DENTAL ASSOCIATES
- Address 2
- SULLIVAN HALL RM 170
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 632-8971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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