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

Dr. Michael Proothi, DMD, MD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1124279856

Dr. Michael Proothi, DMD, MD is a Maxillofacial Surgery in Stony Brook, New York. Qualified in 2007, 19 years ago. Practices with Stony Brook Oral and Facial Surgery PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

207 Hallock Rd Ste 2
Stony Brook, NY 11790-3072
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 & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 260012 (NY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 051735 (NY)

Record details

NPI number1124279856
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Stony Brook Oral And Facial Surgery Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook