Individual provider · Type 1 NPI

Jalal Ud-Din Bukhari

Oral and Maxillofacial Radiology Dentistry · South Setauket, NY

NPI number 1720513625 Active

Practice location

53 Betty Ann Dr
South Setauket, NY 11720-1043

Mailing address

36 Balsam Dr
Hicksville, NY 11801-2051

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Radiology Dentistry Primary 1223X0008X060812 (NY)

Oral and Maxillofacial Radiology Dentistry: The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.

About NPI 1720513625

Jalal Ud-Din Bukhari's National Provider Identifier is 1720513625, issued on Apr 28, 2017. The primary taxonomy on file is Oral and Maxillofacial Radiology Dentistry (1223X0008X), and the practice location is in South Setauket, NY. The record was last updated on Oct 3, 2019.