STONY BROOK FAMILY DENTISTRY PC NPI 1770705766

NPI Information

STONY BROOK FAMILY DENTISTRY PC is a general practice dentist in Stony Brook, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. STONY BROOK FAMILY DENTISTRY PC NPI is 1770705766. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

207 HALLOCK RD
SUITE 5
STONY BROOK, NY
ZIP 11790-033
Phone: (631) 751-7645
Fax: (631) 751-4170

The provider's authorized official is Eric Baum .
The authorized official title is President and has the following contact phone number (631) 751-7645.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 2/20/2008.

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:

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