Stony Brook Family Dentistry Pc
LBN: Stony Brook Family Dentistry Pc
Stony Brook Family Dentistry Pc is an health care organization with primary practice located at 207 Hallock Rd Suite 5, Stony Brook NY 11790-3033. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Stony Brook Family Dentistry Pc can be contacted via phone (631) 751-7645, or through Baum, Eric via phone (631) 751-7645.
Contact Information
Primary practice address
207 Hallock Rd Suite 5
Stony Brook NY 11790-3033
Phone: (631) 751-7645
Fax: (631) 751-4170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 046703 | New York |
Dental Providers / General Practice | 1223G0001X | 047430 | New York |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 048062 | New York |
Profile Details
NPI number | 1770705766 |
---|---|
LBN Legal business name | Stony Brook Family Dentistry Pc |
DBA Doing business as | |
Authorized official | Baum, Eric Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 2nd, 2007 |
Last updated | Feb 20th, 2008 - about 16 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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