DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OPEN WIDE DENTAL, PC

Active Organization

OPEN WIDE DENTAL, PC is a General Dentistry organization located in STONY BROOK, New York. NPI 1851592042 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · STONY BROOK, NY

Registration Details

NPI Number
1851592042
Provider Type
Organization
NPI Issued
May 29, 2007 (19.2257085976 yrs)
Last Updated
Aug 22, 2020
License
046699 (NY)

Practice Information

Address
17 QUAKER PATH
STONY BROOK, NY, 117901307
Browse NY providers · Browse ZIP 11790
Phone
6317510065
Fax
6317510103
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in STONY BROOK, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.