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STONY BROOK DENTAL ASSOCIATES
NPI 1265602874
Dentist - Pediatric Dentistry in Stony Brook, NY

Active since March 11, 2008
SULLIVAN HALL ROOM 170, FACULTY PRACTICE, STONY BROOK, NY 11794(631) 632-8971(631) 632-7658 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stony Brook Dental Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STONY BROOK DENTAL ASSOCIATES (NPI 1265602874) is a healthcare organization registered as a pediatric dentistry in Stony Brook, New York and active in the NPI registry since March 2008. The organization lists Robert Reiner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265602874
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTONY BROOK DENTAL ASSOCIATES
Location AddressSULLIVAN HALL ROOM 170, FACULTY PRACTICEStony Brook, NY 11794-8705
Mailing AddressSullivan Hall Room 170, Faculty PracticeStony Brook, NY 11794-8705 · (631) 632-8971 · Fax (631) 632-7658
Phone(631) 632-8971
Fax(631) 632-7658
Organization SubpartNo
Authorized OfficialRobert ReinerExecutive Director · (631) 632-8971
Enumeration DateMarch 11, 2008
✔ NPI 1265602874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NY · 031804-1✔ Licensed in NY · 043965-1
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
SULLIVAN HALL ROOM 170, Stony Brook, NY 11794
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Other Identifiers 2

Medicaid01470777NY
Medicaid00675654NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stony Brook Dental Associates's NPI number?

The NPI number for Stony Brook Dental Associates is 1265602874. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Stony Brook Dental Associates located?

Stony Brook Dental Associates is located at Sullivan Hall Room 170 Faculty Practice, Stony Brook, NY 11794. The listed phone number is (631) 632-8971.

What is Stony Brook Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Stony Brook Dental Associates was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.