Individual provider · Type 1 NPI

Matthew Neill Zimmer

Pediatric Dentistry · Stony Brook, NY

NPI number 1972922599 Active

Practice location

100 Nicolls Rd, 114 Rockland Hall
Stony Brook, NY 11794

Call (631) 632-3181 Map

Mailing address

122 Campanile Dr
Mooresville, NC 28117-8605

Other practice locations

  • 100 Nicolls Rd, 114 Rockland Hall, Stony Brook, NY 11794-8701 · (631) 632-3181

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X10269 (NC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

113 other providers at this address

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About NPI 1972922599

Matthew Neill Zimmer's National Provider Identifier is 1972922599, issued on Apr 10, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 7, 2018.