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Srinivas Rao Myneni Venkatasatya, DDS,PHD
Periodontist in Stony Brook, New York
NPI 1639524192

Srinivas Rao Myneni Venkatasatya is a Periodontist based in Port Jefferson, NY and is specialized in Periodontics. Srinivas Rao Myneni Venkatasatya practices in Stony Brook, NY and has the professional credentials of DDS,PHD. The NPI Number for Srinivas Rao Myneni Venkatasatya is 1639524192 and holds a License No. 000063-1 (New York).

The current practice location address for Srinivas Rao Myneni Venkatasatya is 108 Rockland Hl, Stony Brook, NY and can be reached out via phone at 631-632-8739.

Location: 108 Rockland Hl, Stony Brook, NY, 11777-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639524192
Provider Name
Srinivas Rao Myneni Venkatasatya
Credential
DDS,PHD
Provider Entity Type
Individual
Gender
Male
Address
108 Rockland Hl, Stony Brook, NY, 11777-2055
Phone Number
631-632-8739
Fax Number
Provider Enumeration Date
05/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 Rockland Hl
City
Stony Brook
State
New York
Zip
11794-8703
Phone Number
631-632-8739
Fax Number
person
Provider Business Mailing Address Details
Address
108 Rockland Hl
City
Stony Brook
State
New York
Zip
11794-8703
Phone Number
631-632-8739
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
000063-1 (New York)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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