MICHAEL PROOTHI, DMD, MD STONY BROOK, NY

Contact Information

MICHAEL PROOTHI, DMD, MD

207 HALLOCK RD STE 2
STONY BROOK, NY 11790-3072

Phone: 631-675-9601
Fax: 631-675-9602
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for MICHAEL PROOTHI · (Male)

NPI #	`1124279856`
Status	Active
Credentials	DMD, MD
Entity	Individual
Enumeration date	09/30/2008
Last updated	02/29/2024 - About 2 years ago
Sole proprietor ¹	No
Identifiers	NY License # 051735 NY License # 260012
Hospital affiliation(s)	UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care) HEALTH SCIENCES CENTER SUNY STONY BROOK, NY 11794

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.

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

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for MICHAEL PROOTHI · (Male)

Reviews for MICHAEL PROOTHI

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