Individual provider · Type 1 NPI

Sogol Shantiyai, DMD

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1114376654 Active

Practice location

Suny At Stony Brook Hospital Dentistry, 151 Westchester Hall
Stony Brook, NY 11794-8711

Call (631) 444-2557 Map

Fax (631) 444-6013

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114376654

Sogol Shantiyai, DMD's National Provider Identifier is 1114376654, issued on Jun 6, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 6, 2016.