Stony Brook Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

MA20980 Issued in MA

Legal business name

STONY BROOK DENTAL PC

Practice address

2500 Nesconset Hwy
Suite 11
Stony Brook, NY 11790-2555

Phone

(631) 751-7171

NPI assigned

Sep 10, 2014

Last updated

Aug 27, 2024By 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. Richard Miller, DMDNPI 1356463665

Title

President

Phone

(617) 921-6292

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.

• Richard Todd Miller, DMD

  • General Practice Dentistry
  • Hanover, MA
  • NPI 1356463665
  Authorized official Same address or phone

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1528469442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "SUITE 11",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "SUITE 11",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-921-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "MA20980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stony Brook Anaesthesiology, University Faculty Practice Corporation
• Stony Brook Children's Service, University Faculty Practice Corporatio
• Stony Brook Cosmetic Dentistry, P.C. (Stony Brook General & Cosmetic Dentistry)
• Stony Brook Dental Associates
• Stony Brook Dental Associates
• Stony Brook Dermatology Associates, University Faculty Practice Corpor
• Stony Brook Emergency Physicians, University Faculty Practice Corporat
• Stony Brook Family and Preventive Medicine, University Faculty Practic
• Stony Brook Family Dentistry PC
• Stony Brook Fire Dist

• 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 27, 2024; 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.