Open Wide Dental, Pc in Stony Brook - General Practice
Open Wide Dental, Pc - NPI 1851592042
Open Wide Dental, Pc is a General Practice in Stony Brook, New York. Open Wide Dental, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Open Wide Dental, Pc is 1851592042. The last update date is 2020-08-22.
Open Wide Dental, Pc's current location address is 17 Quaker Path, Stony Brook, New York. You can contact this provider via phone number 6317510065 and fax number 6317510103. The mailing address for Open Wide Dental, Pc is 17 Quaker Path, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Open Wide Dental, Pc |
|---|---|
| Address | 17 Quaker Path, Stony Brook, New York |
| Phone Number | 6317510065 |
| Fax Number | 6317510103 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Riutta William Thomas |
| Credentials | D.D.S. |
| Telephone Number | 6317510065 |
NPI Number Detail
| NPI Number | 1851592042 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17 Quaker Path |
|---|---|
| City | Stony Brook |
| State | New York (NY) |
| Post Code | 117901307 |
| Phone Number | 6317510065 |
| Fax Number | 6317510103 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 46699 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Open Wide Dental, Pc?
The Open Wide Dental, Pc has been issued the NPI (National Provider Identifier) 1851592042 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Open Wide Dental, Pc?
The Open Wide Dental, Pc is situated at 17 Quaker Path, in the city of Stony Brook, state of NY, with the zip code 117901307.
What is Open Wide Dental, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Open Wide Dental, Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851592042 to Open Wide Dental, Pc?
The Centers for Medicare & Medicaid Services assigned the 1851592042 to Open Wide Dental, Pc on 2007-05-29.
When was the information regarding Open Wide Dental, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Open Wide Dental, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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