Gordon Alan Ferguson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01083500 Issued in NJ

Practice address

177 Gordonhurst Ave
Upper Montclair, NJ 07043-1722

Phone

(973) 744-3181

Fax

(973) 857-6453

NPI assigned

Mar 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David Ferguson, DDS, PA

  dba Ferguson Dental Associates

  • General Practice Dentistry
  • Upper Montclair, NJ
  • NPI 1053522821
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851424691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 GORDONHURST AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431722",
            "telephone_number": "973-744-3181",
            "fax_number": "973-857-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 GORDONHURST AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431722",
            "telephone_number": "973-744-3181",
            "fax_number": "973-857-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "GORDON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01083500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihaela Dranoff, PHD
• Randi Marie Elia, LPC
• Elizabeth a. Cieri, Psy.D. Co
• Elizabeth a. Cieri, Psy.D. Co
• David Ian Ferguson, DDS
• Fokas Vision Corporation -Sally Fokas (Testa Opticians)
• Sharon Jill Freedman, PH.D.
• Dawn C Fried, MSW LCSW
• Mark J Friedman, PH.D.
• Linda Friedricks, L.C.S.W.

• General Practice Dentistry in Upper Montclair, NJ
• Providers in Upper Montclair, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.