Larry Jethro Ferguson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2262 Issued in SC

Practice address

1812 Wallace School Road,
Suite 400
Charleston, SC 29407-4517

Phone

(843) 571-4411

Fax

(843) 571-1801

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Westside Dental Associates, P.C.

  • General Practice Dentistry
  • Charleston, SC
  • NPI 1417623844
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659322121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 WALLACE SCHOOL ROAD,",
            "address_2": "SUITE 400",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074517",
            "telephone_number": "843-571-4411",
            "fax_number": "843-571-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 WALLACE SCHOOL ROAD,",
            "address_2": "SUITE 400",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074517",
            "telephone_number": "843-571-4411",
            "fax_number": "843-571-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LARRY",
        "middle_name": "JETHRO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z22627",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Renee Ferguson, LSW
• Gwendolyn Grace Ferguson
• John Matthew Ferguson, M.D.
• Jonathan McAlister Ferguson, MD
• Katelyn Ferguson
• Maranda Nicole Ferguson
• Michelle R Ferguson, NP
• Robert Bruce Ferguson, PHARM.D. BCPP, MHS,
• Brian Ferla, M.D.
• Joli D Fermo, PHARMD

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.