NPI 1124279856

Michael Proothi, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Stony Brook, NY

Practice location

Address: 207 Hallock Rd STE 2, Stony Brook, NY 11790-3072
Phone: (631) 675-9601
Fax: (631) 675-9602

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 260012 (NY)

Other Oral & Maxillofacial Surgery providers in New York →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 051735 (NY)

Registry record

NPI: 1124279856
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2008
Record last updated: 29 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.