FRED SHAKESPEARE FERGUSON

STONY BROOK, NY
NPI1194856872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NY  031804)
Enumeration Date2007-03-07
Last Update Date2007-07-09
Business Address
Dr. FRED SHAKESPEARE FERGUSON DDS
STONY BROOK DENTAL ASSOCIATES SULLIVAN HALL RM 170
STONY BROOK, NY 11794-0001
Phone number: 631-632-8971
Mailing Address
Dr. FRED SHAKESPEARE FERGUSON DDS
10 BRAEMER RD
SETAUKET, NY 11733-3905
Phone number: 631-751-3901