Individual provider · Type 1 NPI

Ken De-Yi He, DDS

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

NPI number 1417808353 Active

Practice location

101 Nicolls Road, Health Sciences Center, Level 4
Stony Brook, NY 11794-8434

Call (631) 444-8413 Map

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 1417808353

Ken De-Yi He, DDS's National Provider Identifier is 1417808353, issued on Feb 6, 2026. 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 Aug 10, 2026.