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

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: July 26, 2026.

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
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

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.

Dentist (Oral and Maxillofacial Pathology)
STONY BROOK DENTAL ASSOCIATES, SULLIVAN HALL, ROOM 170
STONY BROOK, NY 11794

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 with the weekly NPPES data releases published by CMS.