STONY BROOK DENTAL ASSOCIATES NPI 1265602874

NPI Information

STONY BROOK DENTAL ASSOCIATES is a pediatric dentistry dentist in Stony Brook, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. STONY BROOK DENTAL ASSOCIATES NPI is 1265602874. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

SULLIVAN HALL ROOM 170
FACULTY PRACTICE
STONY BROOK, NY
ZIP 11794-705
Phone: (631) 632-8971
Fax: (631) 632-7658

The provider's authorized official is Robert Reiner .
The authorized official title is Executive Director and has the following contact phone number (631) 632-8971.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 3/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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