Suny Stony Brook School Of Dental Medicine - Medicare Dental Clinic in Stony Brook, NY

Suny Stony Brook School Of Dental Medicine is a medicare enrolled dental clinic (Dentist) in Stony Brook, New York. The current practice location for Suny Stony Brook School Of Dental Medicine is 184d Nichols Road Sullivan Hall, Stony Brook, New York. For appointments, you can reach them via phone at (631) 632-8966. The mailing address for Suny Stony Brook School Of Dental Medicine is 184d Nichols Road Sullivan Hall, Stony Brook, New York and phone number is (631) 632-8966.

Suny Stony Brook School Of Dental Medicine is licensed to practice in New York (license number 377821). The clinic also participates in the medicare program and its NPI number is 1053482067. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (631) 632-8966.

Contact Information

Suny Stony Brook School Of Dental Medicine
184d Nichols Road Sullivan Hall
Stony Brook
NY 11794
(631) 632-8966
(631) 632-9302

Dental Care Clinic Profile

Full NameSuny Stony Brook School Of Dental Medicine
SpecialityDentist
Location184d Nichols Road Sullivan Hall, Stony Brook, New York
Authorized Official Name and PositionCarol Sloane (ASST. DEAN CLINIC OPERATIONS)
Authorized Official Contact6316328966
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suny Stony Brook School Of Dental Medicine
184d Nichols Road Sullivan Hall
Stony Brook
NY 11794-0001

Ph: (631) 632-8966
Suny Stony Brook School Of Dental Medicine
184d Nichols Road Sullivan Hall
Stony Brook
NY 11794

Ph: (631) 632-8966

NPI Details:

NPI Number1053482067
Provider Enumeration Date11/13/2006
Last Update Date08/03/2018

Medicare PECOS Information:

Medicare PECOS PAC ID0840101770
Medicare Enrollment IDO20170926003852

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Medical Identifiers

Medical identifiers for Suny Stony Brook School Of Dental Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053482067NPI-NPPES
00475076MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 377821 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Suny Stony Brook School Of Dental Medicine acts as a billing entity for following providers:
Provider NameSteven Marshall Zove
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1902929706
PECOS PAC ID: 6002114865
Enrollment ID: I20181115000870

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Dental Clinics in Stony Brook, NY

Stony Brook General & Cosmetic Dentistry
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Medicare: Not Enrolled in Medicare
Practice Location: 215 Hallock Rd, Suite 2, Stony Brook, NY 11790
Phone: 631-689-3226    Fax: 631-689-3155
Stony Brook Dental Associates
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Practice Location: Sullivan Hall Room 170, Faculty Practice, Stony Brook, NY 11794
Phone: 631-632-8971    Fax: 631-632-7658
Eric T Baum Dmd
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Medicare: Not Enrolled in Medicare
Practice Location: 207 Hallock Rd, Stony Brook, NY 11790
Phone: 631-906-2227    
Stony Brook Dental Associates
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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
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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
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Medicare: Not Enrolled in Medicare
Practice Location: 2500 Nesconset Hwy, Suite 11, Stony Brook, NY 11790
Phone: 631-751-7171    

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