Mistretta, Maressa Ann
Mistretta, Maressa Ann is an individual health care provider with primary practice located at 101 South Drive , Stony Brook NY 11794-0001. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Mistretta, Maressa Ann can be contacted via phone (631) 632-8989.Contact Information
Primary practice address
101 South Drive
Stony Brook NY 11794-0001
Phone: (631) 632-8989
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DDS-09448 | Iowa |
| Dental Providers / General Practice | 1223G0001X | 33712 | Texas |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 33712 | Texas |
Profile Details
| NPI number | 1154842482 |
|---|---|
| LBN Legal business name | Mistretta, Maressa Ann |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2017 |
| Last updated | Feb 28th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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