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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619110996

Dr. Brian McCormack, DDS is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2500 Nesconset Hwy Bldg 18A
Stony Brook, NY 11790-2563
Phone: (516) 313-6949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 054959-1 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619110996
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESJune 7, 2012

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