Jeffrey R Brook in Massapequa - Periodontics
Jeffrey R Brook - NPI 1134142169
Jeffrey R Brook is a Periodontics in Massapequa, New York. Jeffrey R Brook practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeffrey R Brook is 1134142169. The last update date is 2007-07-08.
Jeffrey R Brook's current location address is 878 N Broadway, Massapequa, New York. You can contact this provider via phone number 5167991500 and fax number 5167991510. The mailing address for Jeffrey R Brook is 878 N Broadway, Massapequa, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey R Brook |
|---|---|
| Address | 878 N Broadway, Massapequa, New York |
| Phone Number | 5167991500 |
| Fax Number | 5167991510 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1134142169 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 878 N Broadway |
|---|---|
| City | Massapequa |
| State | New York (NY) |
| Post Code | 117582345 |
| Phone Number | 5167991500 |
| Fax Number | 5167991510 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 31116 |
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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 structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey R Brook by the Centers for Medicare & Medicaid Services?
The Jeffrey R Brook has been issued the NPI (National Provider Identifier) 1134142169 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeffrey R Brook?
The Jeffrey R Brook is situated at 878 N Broadway, in the city of Massapequa, state of NY, with the zip code 117582345.
What is Jeffrey R Brook's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey R Brook's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
When was the Jeffrey R Brook's 1134142169 issued?
The Jeffrey R Brook's 1134142169 was issued on 2006-07-25.
When was the Jeffrey R Brook's information last updated?
The Jeffrey R Brook's information was last updated on 2007-07-08.