National Provider Identifier Database

MICHAEL PROOTHI, DMD, MD – NPI #1124279856
Oral & Maxillofacial Surgery


Contact Information

MICHAEL PROOTHI, DMD, MD
207 HALLOCK RD STE 2
STONY BROOK, NY11790-3072
Phone: 631-675-9601
Fax: 631-675-9602
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL PROOTHI

NPI Number 1124279856
Credentials DMD, MD
Entity Individual
Enumeration date 09/30/2008
Last updated 02/29/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 051735
  • NY License #: 260012
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MICHAEL PROOTHI, DMD, MD

There are currently no reviews for MICHAEL PROOTHI, DMD, MD


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