Individual provider · Type 1 NPI
Kristen Brocavich, DDS
Periodontics · Islip, NY
NPI number
1851901896
Active
Practice location
150 Islip Ave Ste 11
Islip, NY 11751-3222
Mailing address
3 Farnum St
Lynbrook, NY 11563-3920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 061138 (NY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Islip
About NPI 1851901896
Kristen Brocavich, DDS's National Provider Identifier is 1851901896, issued on Aug 4, 2020. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Islip, NY. The record was last updated on Aug 4, 2020.