Patrice Dianna Ferguson in Baldwin - Dentist

Patrice Dianna Ferguson - NPI 1174702609

Patrice Dianna Ferguson is a Dentist in Baldwin, New York. Patrice Dianna Ferguson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Patrice Dianna Ferguson is 1174702609. The last update date is 2007-11-01.

Patrice Dianna Ferguson's current location address is 770 Imperial Dr, Baldwin, New York. You can contact this provider via phone number 5168688781 and fax number 7189492035. The mailing address for Patrice Dianna Ferguson is 770 Imperial Dr, Baldwin, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrice Dianna Ferguson
Address 770 Imperial Dr, Baldwin, New York
Phone Number 5168688781
Fax Number 7189492035
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1174702609
Provider Enumeration Date 2007-11-01
Last Updated Date 2007-11-01

Provider Mailing Address Detail

Address 770 Imperial Dr
City Baldwin
State New York (NY)
Post Code 115104535
Phone Number 5168688781
Fax Number 7189492035

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 49050
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Patrice Dianna Ferguson

What is the unique 10-digit identifier code issued to Patrice Dianna Ferguson by the Centers for Medicare & Medicaid Services?

The Patrice Dianna Ferguson has been assigned the NPI (National Provider Identifier) 1174702609 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Patrice Dianna Ferguson is physically located?

The Patrice Dianna Ferguson is physically situated at the following address: 770 Imperial Dr, Baldwin, NY, 115104535.

What is Patrice Dianna Ferguson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Patrice Dianna Ferguson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did Patrice Dianna Ferguson receive its 1174702609 assignment from the Centers for Medicare & Medicaid Services?

The Patrice Dianna Ferguson was assigned its 1174702609 on 2007-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Patrice Dianna Ferguson last refreshed?

The information related to the Patrice Dianna Ferguson, including its address, specialty, and other relevant details, was last updated on 2007-11-01.

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