Mitchell S Brookstone in Wantagh - Oral And Maxillofacial Surgery

Mitchell S Brookstone - NPI 1992784748

Mitchell S Brookstone is a Oral And Maxillofacial Surgery in Wantagh, New York. Mitchell S Brookstone practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mitchell S Brookstone is 1992784748. The last update date is 2007-07-08.

Mitchell S Brookstone's current location address is 1228 Wantagh Ave, Wantagh, New York. You can contact this provider via phone number 5168261666 and fax number 5167837716. The mailing address for Mitchell S Brookstone is 1228 Wantagh Ave, Wantagh, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitchell S Brookstone
Address 1228 Wantagh Ave, Wantagh, New York
Phone Number 5168261666
Fax Number 5167837716
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1992784748
Provider Enumeration Date 2006-01-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1228 Wantagh Ave
City Wantagh
State New York (NY)
Post Code 117932209
Phone Number 5168261666
Fax Number 5167837716

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 42202
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1469887 NY --

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FAQs about Mitchell S Brookstone

What is the unique provider identifier assigned to Mitchell S Brookstone?

The Mitchell S Brookstone has been issued the NPI (National Provider Identifier) 1992784748 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mitchell S Brookstone?

The Mitchell S Brookstone is physically situated at 1228 Wantagh Ave, in the city of Wantagh, state of NY, with the postal code 117932209.

What is Mitchell S Brookstone's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mitchell S Brookstone is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

On what date did the Mitchell S Brookstone receive its 1992784748 assignment from the Centers for Medicare & Medicaid Services?

The Mitchell S Brookstone was assigned its 1992784748 by the Centers for Medicare & Medicaid Services on 2006-01-11.

When was the Mitchell S Brookstone's information last updated?

The Mitchell S Brookstone's information was last updated on 2007-07-08.

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