| Suny Stony Brook School Of Dental Medicine | |
|
184d Nichols Road Sullivan Hall Stony Brook NY 11794 | |
| (631) 632-8966 | |
| (631) 632-9302 |
| Full Name | Suny Stony Brook School Of Dental Medicine |
|---|---|
| Speciality | Dentist |
| Location | 184d Nichols Road Sullivan Hall, Stony Brook, New York |
| Authorized Official Name and Position | Carol Sloane (ASST. DEAN CLINIC OPERATIONS) |
| Authorized Official Contact | 6316328966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice 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 Number | 1053482067 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/03/2018 |
| Medicare PECOS PAC ID | 0840101770 |
|---|---|
| Medicare Enrollment ID | O20170926003852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053482067 | NPI | - | NPPES |
| 00475076 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 377821 (New York) | Primary |
| Provider Name | Steven Marshall Zove |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1902929706 PECOS PAC ID: 6002114865 Enrollment ID: I20181115000870 |
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 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 |