Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LARRY JETHRO FERGUSON D.M.D.
NPI 1659322121
Dentist - General Practice in Charleston, SC

Active since May 12, 2006PECOS Enrolled
1812 WALLACE SCHOOL ROAD,, SUITE 400, CHARLESTON, SC 29407(843) 571-4411(843) 571-1801 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Larry Jethro Ferguson D.m.d. NPPES

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

DR. LARRY JETHRO FERGUSON D.M.D. (NPI 1659322121) is an individual general practice provider in Charleston, South Carolina, licensed in South Carolina (2262) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659322121
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LARRY JETHRO FERGUSONCredential: D.M.D.
Location Address1812 WALLACE SCHOOL ROAD,, SUITE 400Charleston, SC 29407-4517
Mailing Address1812 Wallace School Road,, Suite 400Charleston, SC 29407-4517 · (843) 571-4411 · Fax (843) 571-1801
Fax(843) 571-1801
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1659322121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 2262
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1812 WALLACE SCHOOL ROAD,, Charleston, SC 29407

Other Identifiers 1

MedicaidZ22627SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Larry Jethro Ferguson D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Larry Ferguson's NPI number?

The NPI number for Larry Ferguson is 1659322121. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Larry Ferguson located?

Larry Ferguson practices at 1812 Wallace School Road, Suite 400, Charleston, SC 29407. The listed phone number is (843) 571-4411.

What is Larry Ferguson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Larry Ferguson enrolled in Medicare?

Yes. Larry Ferguson is registered in the Medicare PECOS enrollment system.

What insurance does Larry Ferguson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Larry Ferguson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Ferguson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.