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JALAL UD-DIN BUKHARI
NPI 1720513625
Dentist - Oral and Maxillofacial Radiology in South Setauket, NY

Active since April 28, 2017
53 BETTY ANN DR, SOUTH SETAUKET, NY 11720(631) 355-9371 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2019, Apr 28, 2017 (2 updates tracked since 2017).

About Jalal Ud-din Bukhari NPPES

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

JALAL UD-DIN BUKHARI (NPI 1720513625) is an individual oral and maxillofacial radiology provider in South Setauket, New York, licensed in New York (060812) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1720513625
Entity TypeIndividualMale
Primary Taxonomy1223X0008X
Provider Legal NameJALAL UD-DIN BUKHARI
Location Address53 BETTY ANN DRSouth Setauket, NY 11720-1043
Mailing Address36 Balsam DrHicksville, NY 11801-2051 · (631) 355-9371
Phone(631) 355-9371
Sole ProprietorYes
Enumeration DateApril 28, 2017
Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration
✔ NPI 1720513625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
License✔ Licensed in NY · 060812
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
53 BETTY ANN DR, South Setauket, NY 11720
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Other Identifiers 1

Medicaid97664419F45226CA

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 Jalal Bukhari's NPI number?

The NPI number for Jalal Bukhari is 1720513625. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Jalal Bukhari located?

Jalal Bukhari practices at 53 Betty Ann Dr, South Setauket, NY 11720. The listed phone number is (631) 355-9371.

What is Jalal Bukhari's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

When was this NPI record last updated?

The NPPES record for Jalal Bukhari was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.