John Arthur Primavera D.D.S.

NPI 1063551877 - Dentist - 1223G0001X

NPI Details
NPI 1063551877
Gender Male
Enumeration Date 02/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1239 N COUNTRY RD
STONY BROOK NY, 11790-1934, US
Phone (631) 751-0099
Fax (631) 751-2557
Business Location
1239 N COUNTRY RD
STONY BROOK NY, 11790-1934, US
Phone (631) 751-0099
Fax (631) 751-2557
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 027318
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According to our database, Dr. John Arthur Primavera D.D.S. NPI is 1063551877, taxonomy code is 1223G0001X and license number is 027318, license state is located at New York. John Arthur Primavera D.D.S. physically located at 1239 N Country Rd, Stony Brook NY, 11790-1934. NPI Number John Arthur Primavera D.D.S. has the Individual type.

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1063551877 NPI number is provided on an as is basis without warranty of any kind. 1063551877 is maintained by the National Plan & Provider Enumeration System. The contents of John Arthur Primavera D.D.S. are for informational purposes only.