| Stoney Brook Dental Pc | |
|
2500 Nesconset Hwy Suite 11 Stony Brook NY 11790-2555 | |
| (631) 751-7171 | |
| Not Available |
| Full Name | Stoney Brook Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 2500 Nesconset Hwy, Stony Brook, New York |
| Authorized Official Name and Position | Richard Miller (PRESIDENT) |
| Authorized Official Contact | 6179216292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoney Brook Dental Pc 2500 Nesconset Hwy Suite 11 Stony Brook NY 11790-2555 Ph: () - | Stoney Brook Dental Pc 2500 Nesconset Hwy Suite 11 Stony Brook NY 11790-2555 Ph: (631) 751-7171 |
| NPI Number | 1528469442 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 09/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528469442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MA20980 (Massachusetts) | Primary |
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› Verified 7 days ago
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