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

Mamoon Jallad, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447016209

Mamoon Jallad, DMD is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

101 S Dr
Stony Brook, NY 11794-0001
Phone: (631) 632-8989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1447016209
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 27, 2024
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

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