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Stony Brook Dental Associates
Pediatric Dentist in Stony Brook, New York
NPI 1265602874

Stony Brook Dental Associates is a Pediatric Dentist based in Stony Brook, NY and is specialized in Pediatric Dentistry. Stony Brook Dental Associates practices in Stony Brook, NY. The NPI Number for Stony Brook Dental Associates is 1265602874 and holds a License No. 043965-1 (New York).

The current practice location address for Stony Brook Dental Associates is Sullivan Hall Room 170, Stony Brook, NY and can be reached out via phone at 631-632-8971 and via fax at 631-632-7658.

Location: Sullivan Hall Room 170, Stony Brook, NY, 11794-8705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265602874
Provider Name
Stony Brook Dental Associates
Credential
Provider Entity Type
Organization
Address
Sullivan Hall Room 170, Stony Brook, NY, 11794-8705
Phone Number
631-632-8971
Fax Number
631-632-7658
Provider Enumeration Date
03/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01470777 05 NY
00675654 05 NY
institution
Provider Business Practice Location Address Details
Address
Sullivan Hall Room 170
City
Stony Brook
State
New York
Zip
11794-8705
Phone Number
631-632-8971
Fax Number
631-632-7658
person
Provider Business Mailing Address Details
Address
Sullivan Hall Room 170
City
Stony Brook
State
New York
Zip
11794-8705
Phone Number
631-632-8971
Fax Number
631-632-7658
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
043965-1 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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