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

Stony Brook Oral and Facial Surgery PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1497289037

Stony Brook Oral and Facial Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

207 Hallock Rd Ste 2
Stony Brook, NY 11790-3033
Phone: (631) 675-9601
Fax: (631) 675-9602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 051735-1 (NY)

Record details

NPI number1497289037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Proothi — Owner · (631) 675-9601
NPI enumeratedApril 19, 2017
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address207 Hallock Rd, Suite 2, Stony Brook, NY 11790-3033

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