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Contact Information

PETER H PRUDEN, DDS
177 MAIN ST STE 102
HUNTINGTON, NY11743-6917
 Phone: 631-421-2471
 Fax: 631-547-6809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for PETER H PRUDEN · (Male)

NPI Number 1013087790
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/09/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 034661
Hospital affiliation(s) Not Available
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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