STONY BROOK ORAL AND FACIAL SURGERY PC NPI 1497289037

NPI Information

  • NPI: 1497289037
  • Provider Name: STONY BROOK ORAL AND FACIAL SURGERY PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 207 HALLOCK RD
    SUITE 2
    STONY BROOK, NY
    ZIP 11790
  • Phone: (631) 675-9601

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NPI Details

STONY BROOK ORAL AND FACIAL SURGERY PC is an oral and maxillofacial surgery dentist in Stony Brook, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. STONY BROOK ORAL AND FACIAL SURGERY PC NPI is 1497289037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 HALLOCK RD
SUITE 2
STONY BROOK, NY
ZIP 11790-033
Phone: (631) 675-9601
Fax: (631) 675-9602

The provider's authorized official is Michael Proothi .
The authorized official title is Owner and has the following contact phone number (631) 675-9601.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 2/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery051735-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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