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SRINIVAS RAO MYNENI VENKATASATYA DDS, PHD
NPI 1639524192
Dentist - Periodontics in Stony Brook, NY

Active since May 03, 2016
108 ROCKLAND HL, STONY BROOK, NY 11794(631) 632-8739 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Srinivas Rao Myneni Venkatasatya Dds, Phd NPPES

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

SRINIVAS RAO MYNENI VENKATASATYA DDS, PHD (NPI 1639524192) is an individual periodontics provider in Stony Brook, New York, licensed in New York (000063-1) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1639524192
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameSRINIVAS RAO MYNENI VENKATASATYACredential: DDS, PHD
Location Address108 ROCKLAND HLStony Brook, NY 11794-8703
Mailing Address7 Presidents Dr, Apt 4bPort Jefferson, NY 11777-2055
Phone(631) 632-8739
Sole ProprietorNo
Enumeration DateMay 3, 2016
✔ NPI 1639524192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 000063-1
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
108 ROCKLAND HL, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Florida Combined Life and more.Insurance ›

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 Srinivas Rao Myneni Venkatasatya's NPI number?

The NPI number for Srinivas Rao Myneni Venkatasatya is 1639524192. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Srinivas Rao Myneni Venkatasatya located?

Srinivas Rao Myneni Venkatasatya practices at 108 Rockland Hl, Stony Brook, NY 11794. The listed phone number is (631) 632-8739.

What is Srinivas Rao Myneni Venkatasatya's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Srinivas Rao Myneni Venkatasatya accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Florida Combined Life, HRI Dental & Vision and Humana and 3 other insurers list Srinivas Rao Myneni Venkatasatya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Srinivas Rao Myneni Venkatasatya was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.