location
search-icon
person
Kristen Brocavich, DDS
Periodontist in Islip, New York
NPI 1851901896

Kristen Brocavich is a Periodontist based in Lynbrook, NY and is specialized in Periodontics. Kristen Brocavich practices in Islip, NY and has the professional credentials of DDS. The NPI Number for Kristen Brocavich is 1851901896 and holds a License No. 061138 (New York).

The current practice location address for Kristen Brocavich is 150 Islip Ave Ste 11, Islip, NY and can be reached out via phone at 631-581-3100.

Location: 150 Islip Ave Ste 11, Islip, NY, 11563-3920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851901896
Provider Name
Kristen Brocavich
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
150 Islip Ave Ste 11, Islip, NY, 11563-3920
Phone Number
631-581-3100
Fax Number
Provider Enumeration Date
08/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Islip Ave Ste 11
City
Islip
State
New York
Zip
11751-3222
Phone Number
631-581-3100
Fax Number
person
Provider Business Mailing Address Details
Address
150 Islip Ave Ste 11
City
Islip
State
New York
Zip
11751-3222
Phone Number
631-581-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
061138 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.