| Stony Brook General & Cosmetic Dentistry | |
|
215 Hallock Rd Suite 2 Stony Brook NY 11790-3078 | |
| (631) 689-3226 | |
| (631) 689-3155 |
| Full Name | Stony Brook General & Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 215 Hallock Rd, Stony Brook, New York |
| Authorized Official Name and Position | Keith V Watkins (OWNER/DENTIST) |
| Authorized Official Contact | 6316893226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stony Brook General & Cosmetic Dentistry 215 Hallock Road Suite 2 Stony Brook NY 11790-3078 Ph: (631) 689-3226 | Stony Brook General & Cosmetic Dentistry 215 Hallock Rd Suite 2 Stony Brook NY 11790-3078 Ph: (631) 689-3226 |
| NPI Number | 1083898183 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083898183 | NPI | - | NPPES |
| 02630335 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 034701 (New York) | Primary |
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 Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Sullivan Hall Room 170, Faculty Practice, Stony Brook, NY 11794 Phone: 631-632-8971 Fax: 631-632-7658 | |
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: Not Enrolled in Medicare Practice Location: 207 Hallock Rd, Suite 2, Stony Brook, NY 11790 Phone: 631-675-9601 Fax: 631-675-9602 | |
Stony 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 |