Dr Larry Jethro Ferguson, DMD - Medicare Dentist in Charleston, SC

Dr Larry Jethro Ferguson, DMD is a medicare enrolled "Dentist - General Practice" provider in Charleston, South Carolina. His current practice location is 1812 Wallace School Road,, Suite 400, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 571-4411.

Dr Larry Jethro Ferguson is licensed to practice in South Carolina (license number 2262) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659322121.

Contact Information

Dr Larry Jethro Ferguson, DMD
1812 Wallace School Road,, Suite 400,
Charleston, SC 29407-4517
(843) 571-4411
(843) 571-1801



Healthcare Provider's Profile

Full NameDr Larry Jethro Ferguson
GenderMale
SpecialityDentist - General Practice
Location1812 Wallace School Road,, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659322121
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8729392295
  • Enrollment ID: I20150729007567

Medical Identifiers

Medical identifiers for Dr Larry Jethro Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659322121NPI-NPPES
Z22627MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2262 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larry Jethro Ferguson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Larry Jethro Ferguson, DMD
1812 Wallace School Road,, Suite 400,
Charleston, SC 29407-4517

Ph: (843) 571-4411
Dr Larry Jethro Ferguson, DMD
1812 Wallace School Road,, Suite 400,
Charleston, SC 29407-4517

Ph: (843) 571-4411

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› Verified 6 days ago


Dentist in Charleston, SC

Dr. Mary Victoria Tatum, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 92 Courtenay Dr, Charleston, SC 29403
Phone: 843-577-6112    Fax: 843-937-0200
Adam M Clark, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407
Phone: 843-769-0488    Fax: 843-769-0428
Dr. James Randall Marshall, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Dc 500, Charleston, SC 29425
Phone: 843-792-1904    Fax: 843-792-2212
Dr. Fabio Rizzante, DDS, MSC, PHD, MBA
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Charleston, SC 29425
Phone: 734-489-2834    
Dr. James Elliott Gregory Jr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1812 Wallace School Rd, Charleston, SC 29407
Phone: 843-571-4411    
Dr. Theodore D Ravenel V, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 173 Ashley Ave, Charleston, SC 29425
Phone: 843-792-3661    
Dr. Robert Louis Morrow Sr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18 A Leinbach Dr., Charleston, SC 29407
Phone: 843-795-3339    

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