Organization · Type 2 NPI

Stony Brook Dental Associates

Pediatric Dentistry · Stony Brook, NY

NPI number 1265602874 Active

Practice location

Sullivan Hall Room 170, Faculty Practice
Stony Brook, NY 11794-8705

Fax (631) 632-7658

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X043965-1 (NY)
Pediatric Dentistry Primary 1223P0221X031804-1 (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 1265602874

Stony Brook Dental Associates's National Provider Identifier is 1265602874, issued on Mar 11, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 11, 2008.