Individual provider · Type 1 NPI

Daniel Omid Bakhadj

Pediatric Dentistry · Stony Brook, NY

NPI number 1093573529 Active

Practice location

Stony Brook School Of Dental Medicine 114 Rockland Hall
Stony Brook, NY 11794-0001

Call (631) 632-3181 Map

Mailing address

62 Lake Ave S Ste A
Nesconset, NY 11767-1094

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X065656 (NY)

Pediatric Dentistry: 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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About NPI 1093573529

Daniel Omid Bakhadj's National Provider Identifier is 1093573529, issued on Mar 11, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 14, 2026.