Open Wide Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046699 Issued in NY

Legal business name

OPEN WIDE DENTAL, PC

Practice address

17 Quaker Path
Stony Brook, NY 11790-1307

Phone

(631) 751-0065

Fax

(631) 751-0103

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas William Riutta Jr., D.D.S.NPI 1437350691

Title

Owner

Phone

(631) 751-0065

Specialties & licenses 1

Addresses

Other names 1

• thomas w. riutta, jr, dds Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas William Riutta Jr., DDS

  • Dentist
  • Stony Brook, NY
  • NPI 1437350691
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851592042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 QUAKER PATH",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901307",
            "telephone_number": "631-751-0065",
            "fax_number": "631-751-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 QUAKER PATH",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901307",
            "telephone_number": "631-751-0065",
            "fax_number": "631-751-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN WIDE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIUTTA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-751-0065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "thomas w. riutta, jr, dds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cameron Marie Onorato
• Anthonia Onyemem
• Ebrahim Rashid Oomerjee, M.D.
• Sybil Ann Oommen
• Valsan Oommen, RPA-C
• Ophthalmic Consultants of Long Island
• Optimal Care Physical Therapy, PC
• Marie Oquendo-Miller, MSNP
• David Jason Orbach, MD, MS
• Christine Sara Orioles, PA

• General Practice Dentistry in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.