Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stony Brook Family Dentistry PC

Organization General Practice Dentistry · NPI 1770705766

Stony Brook Family Dentistry PC is a General Practice Dentistry in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207 Hallock Rd Ste 5
Stony Brook, NY 11790-3033
Phone: (631) 751-7645
Fax: (631) 751-4170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 046703 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 047430 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 048062 (NY)

Record details

NPI number1770705766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Baum — President · (631) 751-7645
NPI enumeratedMay 2, 2007
Last updated in NPPESFebruary 20, 2008
Mailing address207 Hallock Rd, Suite 5, Stony Brook, NY 11790-3033

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