Organization · Type 2 NPI

Open Wide Dental, PC

General Practice Dentistry · Stony Brook, NY

NPI number 1851592042 Active

Practice location

17 Quaker Path
Stony Brook, NY 11790-1307

Fax (631) 751-0103

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X046699 (NY)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1851592042

Open Wide Dental, PC's National Provider Identifier is 1851592042, issued on May 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 22, 2020.