Dr. Fred Shakespeare Ferguson
DDS | Pediatric Dentist
Stony Brook Dental Associates, Sullivan Hall Rm 170, Stony Brook
New York, 11794-0001
631-632-8971 Maps & DirectionsDr. Fred Shakespeare Ferguson is a Stony Brook, New York based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Fred Shakespeare Ferguson is
031804 for Pediatric Dentistry in New York. His current practice location is
Stony Brook Dental Associates, Sullivan Hall Rm 170, Stony Brook. Patients can reach him at
631-632-8971.
Dr. Fred Shakespeare Ferguson provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Fred Shakespeare Ferguson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Fred Shakespeare Ferguson |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | Stony Brook Dental Associates, Sullivan Hall Rm 170, Stony Brook,
New York, 11794-0001 |
| Phone: | 631-632-8971 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1194856872 |
| NPI Enumeration Date: | 07 Mar, 2007 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Fred Shakespeare Ferguson are as mentioned below.
| License Number | Specialization | State | Status | |
| 031804 | Pediatric Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Fred Shakespeare Ferguson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00675654 | Medicaid | New York | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10 Braemer Rd,
Setauket, New York |
| Zip: | 11733-3905 |
| Phone Number: | 631-751-3901 |
Patients can reach Dr. Fred Shakespeare Ferguson at
Stony Brook Dental Associates, Sullivan Hall Rm 170, Stony Brook, New York or can
call to book an appointment on 631-632-8971.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.