| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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 | |
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: Medicare Enrolled 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 | |
Advanced Endodontics Of Long Island, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy Bldg 18a, Stony Brook, NY 11790 Phone: 631-751-1400 Fax: 631-751-1996 |