Provider Demographics
NPI:1235285651
Name:FERGUSON, BRIDGET MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:MARIE
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CROMWELL PL
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5006
Mailing Address - Country:US
Mailing Address - Phone:914-761-4567
Mailing Address - Fax:914-761-1837
Practice Address - Street 1:4 CROMWELL PL
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5006
Practice Address - Country:US
Practice Address - Phone:914-761-4567
Practice Address - Fax:914-761-1837
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND113611223S0112X
NY0559291223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery