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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699234187

Dr. Jonathan Herbert Derlath, DMD is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

151 Westchester Hall
Stony Brook, NY 11794-8711
Phone: (631) 444-2557
Fax: (631) 444-6013
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1699234187
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 14, 2019
Last updated in NPPESMarch 14, 2019
Mailing address151 Westchester Hall, Stony Brook, NY 11794-8711

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