Dr. Dan Cristian Colosi, DDS, PhD
Dentist, Oral and Maxillofacial Radiology in Stony Brook, NY. Individual provider (NPI-1).
NPI number1114158136
StatusActive
Last updated in NPPESAug 7, 2009
Details
- NPI
- 1114158136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dan Cristian Colosi
- Credential
- DDS, PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2009
- Last updated
- Aug 7, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0008X | Dentist, Oral and Maxillofacial Radiology | 000003 | NY | Yes |
| 122300000X | Dentist | 000003 | NY |
Practice location
Stony Brook University School OfSullivan Hall-Dental Care Center
Stony Brook, NY 11794-8700
Phone 631-632-8974
Mailing address
Stony Brook University School Of124 Westchester Hall
Stony Brook, NY 11794-8700
Phone 631-632-8925 · Fax 631-632-3001
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