Three Village Orthodontics | |
2500 Nesconset Hwy Building 6-b Stony Brook NY 11790-2555 | |
(631) 689-3131 | |
(631) 689-3529 |
Full Name | Three Village Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2500 Nesconset Hwy, Stony Brook, New York |
Authorized Official Name and Position | Andrew Everett (PRESIDENT) |
Authorized Official Contact | 6316893131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Three Village Orthodontics 2500 Nesconset Hwy Building 6-b Stony Brook NY 11790-2555 Ph: (631) 689-3131 | Three Village Orthodontics 2500 Nesconset Hwy Building 6-b Stony Brook NY 11790-2555 Ph: (631) 689-3131 |
NPI Number | 1790149045 |
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Provider Enumeration Date | 04/12/2016 |
Last Update Date | 04/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790149045 | NPI | - | NPPES |
00000000000000000000 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 054294 (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 | |
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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 | |
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