| Stony Brook Oral And Facial Surgery Pc | |
|
207 Hallock Rd Suite 2 Stony Brook NY 11790-3033 | |
| (631) 675-9601 | |
| (631) 675-9602 |
| Full Name | Stony Brook Oral And Facial Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 207 Hallock Rd, Stony Brook, New York |
| Authorized Official Name and Position | Michael Proothi (OWNER) |
| Authorized Official Contact | 6316759601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stony Brook Oral And Facial Surgery Pc 207 Hallock Rd Suite 2 Stony Brook NY 11790-3033 Ph: (631) 675-9601 | Stony Brook Oral And Facial Surgery Pc 207 Hallock Rd Suite 2 Stony Brook NY 11790-3033 Ph: (631) 675-9601 |
| NPI Number | 1497289037 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497289037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 051735-1 (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 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 | |
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 Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy, Suite 11, Stony Brook, NY 11790 Phone: 631-751-7171 |