Stony Brook Family Dentistry PC
NPI #1770705766 in Stony Brook, New York
Provider Information
- NPI Number
- 1770705766
- Entity Type
- Organization
- Organization Name
- Stony Brook Family Dentistry PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 2, 2007
- Last Updated
- Feb 20, 2008
Practice Location
- Address
- 207 HALLOCK RD
- Address 2
- SUITE 5
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-3033
- Phone
- (631) 751-7645
Authorized Official
- Name
- DR. ERIC BAUM, DMD
- Title
- PRESIDENT
- Phone
- (631) 751-7645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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