“Periodontics” (Stony Brook, NY)

Location: Stony Brook, NY
Taxonomy: Periodontics.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.

1285843060 — DR. HEATHER L LUCKS MILLER DDS

Practice Location Address:

2500 NESCONSET HWY BUILDING 10 SUITE 38
STONY BROOK NY
11790-2555

Practice Phone: 631-751-2636

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1619003829 — DR. VINCENT JOSEPH IACONO D.M.D.

Practice Location Address:

110 ROCKLAND HALL-PERIODONTICS SCHOOL OF DENTAL MEDICINE-STONY BROOK UNIVERSITY
STONY BROOK NY
11794-8703

Practice Phone: 631-632-8895

1619003829 mobile

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1639524192 — SRINIVAS RAO MYNENI VENKATASATYA DDS, PHD

Practice Location Address:

108 ROCKLAND HL
STONY BROOK NY
11794-8703

Practice Phone: 631-632-8739

1639524192 mobile

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1710141213 — DR. MARIA EMANUEL RYAN DDS, PHD

Practice Location Address:

STONY BROOK UNIVERSITY SDM WESTCHESTER HALL, DEPT OF OB&P
STONY BROOK NY
11794-0001

Practice Phone: 631-632-9529

1710141213 mobile

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1932247731 — DR. JOHN A. DIANA DDS

Practice Location Address:

2500 NESCONSET HWY BUILDING 11, SUITE C
STONY BROOK NY
11790-2555

Practice Phone: 631-751-8004

1932247731 mobile

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