Provider Type Icon

THREE VILLAGE ORTHODONTICS NPI 1790149045


NPI Information

NPI: 1790149045
Provider Name: THREE VILLAGE ORTHODONTICS
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
2500 NESCONSET HWY
BUILDING 6-B
STONY BROOK, NY
ZIP 11790
Phone: (631) 689-3131
Get Directions

THREE VILLAGE ORTHODONTICS is an orthodontics and dentofacial orthopedics dentist in Stony Brook, NY. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. THREE VILLAGE ORTHODONTICS NPI is 1790149045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 NESCONSET HWY
BUILDING 6-B
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 689-3131
Fax: (631) 689-3529

The provider's authorized official is Andrew Everett .
The authorized official title is President and has the following contact phone number (631) 689-3131.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/12/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0400XDentistOrthodontics and Dentofacial Orthopedics054294NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100000000000000000000MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.