Stony Brook General & Cosmetic Dentistry

LBN: Stony Brook Cosmetic Dentistry, P.C.
Stony Brook General & Cosmetic Dentistry is an health care organization with primary practice located at 215 Hallock Rd Suite 2, Stony Brook NY 11790-3078. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Stony Brook Cosmetic Dentistry, P.C. can be contacted via phone (631) 689-3226, or through Watkins, Keith V via phone (631) 689-3226.

Contact Information

Primary practice address
215 Hallock Rd Suite 2 Stony Brook NY 11790-3078
Phone: (631) 689-3226
Fax: (631) 689-3155
Website:
Map and Directions
Authorized official contact:
Name: Watkins, Keith V Doctor of Dental Surgery (DDS)
Phone: (631) 689-3226

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 034701 New York

Profile Details

NPI number 1083898183
LBN Legal business name Stony Brook Cosmetic Dentistry, P.C.
DBA Doing business as Stony Brook General & Cosmetic Dentistry
Authorized official Watkins, Keith V Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Dec 26th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083898183 NPPES
New York MEDICAID 02630335

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