Steven Paul Engebretson in Setauket - Periodontics

Steven Paul Engebretson - NPI 1265563589

Steven Paul Engebretson is a Periodontics in Setauket, New York. Steven Paul Engebretson practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Steven Paul Engebretson is 1265563589. The last update date is 2014-04-22.

Steven Paul Engebretson's current location address is 1 Holly Ln, Setauket, New York. You can contact this provider via phone number 2129989640. The mailing address for Steven Paul Engebretson is 1 Holly Ln, Setauket, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven Paul Engebretson
Address 1 Holly Ln, Setauket, New York
Phone Number 2129989640
Fax Number
Sole Proprietor Y
Credentials DMD, MS, M

NPI Number Detail

NPI Number 1265563589
Provider Enumeration Date 2007-03-08
Last Updated Date 2014-04-22

Provider Mailing Address Detail

Address 1 Holly Ln
City Setauket
State New York (NY)
Post Code 117331611
Phone Number 2129989640
Fax Number

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 46334
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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FAQs about Steven Paul Engebretson

What is the unique identifier code issued to Steven Paul Engebretson by the Centers for Medicare & Medicaid Services (CMS)?

The Steven Paul Engebretson has been assigned the NPI (National Provider Identifier) 1265563589. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Steven Paul Engebretson's facilities are geographically located?

The facilities of Steven Paul Engebretson are physically situated at the following location: 1 Holly Ln, Setauket, NY, 117331611.

What is Steven Paul Engebretson's area of expertise and its corresponding taxonomy classification?

The Steven Paul Engebretson's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

When was the Steven Paul Engebretson's 1265563589 issued?

The Steven Paul Engebretson's 1265563589 was issued on 2007-03-08.

As of what date was the information regarding Steven Paul Engebretson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Steven Paul Engebretson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-04-22.

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