O'Dwyer, Rita Susan

O'Dwyer, Rita Susan is an individual health care provider with primary practice located at 2500 Nesconset Hwy Bldg 18A , Stony Brook NY 11790-2563. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. O'Dwyer, Rita Susan can be contacted via phone (631) 751-1400.

Contact Information

Primary practice address
2500 Nesconset Hwy Bldg 18A Stony Brook NY 11790-2563
Phone: (631) 751-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 059772 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Endodontics 1223E0200X 059772 New York

Profile Details

NPI number 1114450327
LBN Legal business name O'Dwyer, Rita Susan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2017
Last updated Jun 7th, 2022 - 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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