Stony Brook Oral and Facial Surgery PC
NPI #1497289037 in Stony Brook, New York
Provider Information
- NPI Number
- 1497289037
- Entity Type
- Organization
- Organization Name
- Stony Brook Oral and Facial Surgery PC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Feb 29, 2024
Practice Location
- Address
- 207 HALLOCK RD
- Address 2
- SUITE 2
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-3033
- Phone
- (631) 675-9601
Authorized Official
- Name
- DR. MICHAEL PROOTHI, DMD, MD
- Title
- OWNER
- Phone
- (631) 675-9601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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