Individual provider · Type 1 NPI

Jason S. Berk, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Stony Brook, NY

NPI number 1265676746 Active

Practice location

Stony Brook University Hospital, Medical Staff Office T14
Stony Brook, NY 11794-7148

Call (631) 444-2754 Map

Fax (631) 444-6031

Mailing address

3 Apricot Ct
Melville, NY 11747-8709

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	055473-1 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1265676746

Jason S. Berk, DDS's National Provider Identifier is 1265676746, issued on Apr 28, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Stony Brook, NY. The record was last updated on Nov 21, 2016.