Stony Brook Dental Associates | |
Sullivan Hall Room 170 Faculty Practice Stony Brook NY 11794-8705 | |
(631) 632-8971 | |
(631) 632-7658 |
Full Name | Stony Brook Dental Associates |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | Sullivan Hall Room 170, Stony Brook, New York |
Authorized Official Name and Position | Robert Reiner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6316328971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stony Brook Dental Associates Sullivan Hall Room 170 Faculty Practice Stony Brook NY 11794-8705 Ph: (631) 632-8971 | Stony Brook Dental Associates Sullivan Hall Room 170 Faculty Practice Stony Brook NY 11794-8705 Ph: (631) 632-8971 |
NPI Number | 1265602874 |
---|---|
Provider Enumeration Date | 03/11/2008 |
Last Update Date | 03/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265602874 | NPI | - | NPPES |
01470777 | Medicaid | NY | |
00675654 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 043965-1 (New York) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 031804-1 (New York) | Primary |
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› Verified 2 days ago
Suny Stony Brook School Of Dental Medicine Dental Clinic Medicare: Medicare Enrolled Practice Location: 184d Nichols Road Sullivan Hall, Stony Brook, NY 11794 Phone: 631-632-8966 Fax: 631-632-9302 | |
Stony Brook General & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Hallock Rd, Suite 2, Stony Brook, NY 11790 Phone: 631-689-3226 Fax: 631-689-3155 | |
Eric T Baum Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Hallock Rd, Stony Brook, NY 11790 Phone: 631-906-2227 | |
Stony Brook Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: State University At Stony Brk, School Of Dental Medicine 170 Sullivan Hall, Stony Brook, NY 11794 Phone: 631-632-8971 | |
Stony Brook Oral And Facial Surgery Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 207 Hallock Rd, Suite 2, Stony Brook, NY 11790 Phone: 631-675-9601 Fax: 631-675-9602 | |
Stoney Brook Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy, Suite 11, Stony Brook, NY 11790 Phone: 631-751-7171 |