Ferguson Dental Care PLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN 17631 Issued in FL

Legal business name

FERGUSON DENTAL CARE PLC

Practice address

14057 Broken Bow. Dr. N.
Jacksonville, FL 32225

Phone

(904) 221-3693

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Burton Ferguson, D.D.S.

Title

Sole Proprietor

Phone

(904) 994-0410

Specialties & licenses 1

Addresses

Other names 1

• dental care professionals Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306058839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14057 BROKEN BOW. DR. N.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-221-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14057 BROKEN BOW. DR. N.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-221-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON DENTAL CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "904-994-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental care professionals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Douglas Fenton, MD
• Melissa Diane Fenton, L.M.H.C.
• Ilona Suzanne Fenyo-Morales, PA-C
• Steven C. Ferber, DDS
• Elizabeth Angela Ferdman, PA-C
• Aaliyah Ferguson
• Dominique Marie Ferguson
• Jean Taylor Ferguson, PA-C
• Jennifer Leann Ferguson, MS, LMHC
• Justine Noelle Ferguson

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.