Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN BROCAVICH, DDS
ActiveKRISTEN BROCAVICH, DDS is a Periodontology healthcare provider located in ISLIP, New York. NPI 1851901896 is currently active in the NPPES registry. Verify at CMS.
Periodontology · ISLIP, NY
Registration Details
- NPI Number
- 1851901896
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2020 (6.0684246145431 yrs)
- Last Updated
- Aug 4, 2020
- License
-
061138 (NY)
Practice Information
- Address
-
150 ISLIP AVE STE 11ISLIP, NY, 117513222Browse NY providers · Browse ZIP 11751
- Phone
- 6315813100
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in ISLIP, NY
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN M FROST | DDS | 1144240714 |
| DR. SARA DESANTIS | D.D.S. | 1528081072 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.