Stony Brook Dental Associates

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STONY BROOK DENTAL ASSOCIATES

Practice address

State University at Stony BRK
School of Dental Medicine 170 Sullivan Hall
Stony Brook, NY 11794-0001

Phone

(631) 632-8971

NPI assigned

Feb 20, 2007

Last updated

Aug 3, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Philip Reiner, DMD

Title

Executive Director

Phone

(631) 444-2925

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron G Segal, D.D.S.

  • Prosthodontics
  • Philadelphia, PA
  • NPI 1083749675
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1437293560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE UNIVERSITY AT STONY BRK",
            "address_2": "SCHOOL OF DENTAL MEDICINE 170 SULLIVAN HALL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-632-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE UNIVERSITY AT STONY BRK",
            "address_2": "SCHOOL OF DENTAL MEDICINE 170 SULLIVAN HALL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-632-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "REINER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-444-2925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.