DR. FRED SHAKESPEARE FERGUSON DDS
NPI 1194856872
Dentist - Pediatric Dentistry in Stony Brook, NY

Q: What is Fred Ferguson's NPI number?

The NPI number for Fred Ferguson is 1194856872. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Fred Ferguson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Fred Ferguson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2007

STONY BROOK DENTAL ASSOCIATES, SULLIVAN HALL RM 170, STONY BROOK, NY 11794(631) 632-8971 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Fred Shakespeare Ferguson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED SHAKESPEARE FERGUSON DDS (NPI 1194856872) is an individual pediatric dentistry provider in Stony Brook, New York, licensed in New York (031804) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1194856872

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. FRED SHAKESPEARE FERGUSONCredential: DDS

Location AddressSTONY BROOK DENTAL ASSOCIATES, SULLIVAN HALL RM 170Stony Brook, NY 11794-0001

Mailing Address10 Braemer RdSetauket, NY 11733-3905 · (631) 751-3901

Phone(631) 632-8971

Sole ProprietorNo

Enumeration DateMarch 7, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1194856872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NY · 031804

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.

STONY BROOK DENTAL ASSOCIATES, Stony Brook, NY 11794

Open in Google Maps ↗

Other Identifiers 1

Medicaid00675654NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DENISE AMANDA TROCHESSET DDS

Dentist (Oral and Maxillofacial Pathology)

STONY BROOK DENTAL ASSOCIATES, SULLIVAN HALL, ROOM 170
STONY BROOK, NY 11794

Suffolk County (631) 632-8971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Ferguson's NPI number?

The NPI number for Fred Ferguson is 1194856872. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Fred Ferguson located?

Fred Ferguson practices at Stony Brook Dental Associates Sullivan Hall Rm 170, Stony Brook, NY 11794. The listed phone number is (631) 632-8971.

What is Fred Ferguson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fred Ferguson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.