THREE VILLAGE ORTHODONTICS (NPI# 1790149045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790149045 |
| Entity Type | Organization |
| Organization Name | THREE VILLAGE ORTHODONTICS |
| Practice Address |
2500 Nesconset Hwy Building 6-b Stony Brook NY 11790-2555 |
| Practice Telephone | 6316893131 |
| Practice Fax Number | 6316893529 |
| Mailing Telephone | 6316893131 |
| Mailing Fax Number | 6316893529 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | DR. ANDREW EVERETT (PRESIDENT) |
| Authorized Official Telephone | 6316893131 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
054294 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00000000000000000000 | 05 |
| Street Address |
2500 NESCONSET HWY BUILDING 6-B |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556025 | Marc Yland | Anesthesiology | 2500 Nesconset Hwy, Bldg 24c, Stony Brook, NY 11790-2598 | 2005-05-27 |
| 1417471202 | Brandon M Henkowicz Dc, P.C. | Chiropractor | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2017-08-02 |
| 1902345846 | Michael Fama | Physical Therapist | 2500 Nesconset Hwy, Bldg 22b, Stony Brook, NY 11790-2555 | 2017-02-13 |
| 1790156008 | Morgan Smyth | Physician Assistant | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2015-10-13 |
| 1679964043 | Diana V Carney | Nurse Practitioner | 2500 Nesconset Hwy, Bldg 16, Suite 63, Stony Brook, NY 11790-2555 | 2015-02-06 |
| 1528469442 | Stoney Brook Dental PC | Dentist | 2500 Nesconset Hwy, Suite 11, Stony Brook, NY 11790-2555 | 2014-09-10 |
| 1235545732 | Robert Mosca Physical Therapy, Pllc | Specialist | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2014-07-03 |
| 1841606605 | Shana Anthony | Physical Therapist | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2014-07-01 |
| 1891136073 | Comprehensive Neurology of Long Island PC | Neuromusculoskeletal Medicine & OMM | 2500 Nesconset Hwy, Bldg 5b, Stony Brook, NY 11790-2555 | 2013-07-16 |
| 1275979387 | Stonybrook Regional Chiropractic PC | Chiropractor | 2500 Nesconset Hwy, Building 20a, Stony Brook, NY 11790-2555 | 2013-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578818357 | Hechang Huang | Dentist | Sullivan Hl Rm 170, Stony Brook, NY 11794-8705 | 2012-07-18 |
| 1811269657 | Wellington Jose Rody Jr. | Dentist | 184 Sullivan Hall- Stony Brook School of Dent Medicine, Stony Brook, NY 11794-3003 | 2012-02-08 |
| 1881966604 | Nadav Segal D.d.s., P.c | Dentist | 2500 Nesconset Hwy, Building 4b, Stony Brook, NY 11790-2555 | 2012-02-09 |
| 1265676746 | Jason S. Berk | Dentist | Stony Brook University Hospital, Medical Staff Office T14, Stony Brook, NY 11794-7148 | 2009-04-28 |
| 1992949606 | Bahram Elaahi | Dentist | Stony Brook University Hospital, Medical Staff Office T14, Stony Brook, NY 11794-7148 | 2009-04-24 |
| 1750303871 | Michael Stephan Apton | Dentist | 2500 Nesconset Hwy, Bldg 6b, Stony Brook, NY 11790-2555 | 2006-07-25 |
| 1568482149 | Anthony Vincent Maresca | Dentist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on THREE VILLAGE ORTHODONTICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.