Individual provider · NPI-1

Dr. Saro Atam, DMD, MS

Dentist, Orthodontics and Dentofacial Orthopedics · Stony Brook, NY

NPI number1790432284

StatusActive

Last updated in NPPESMar 4, 2022

Details

NPI: 1790432284
Entity type: Individual (NPI-1)
Name: Dr. Saro Atam
Credential: DMD, MS
Sex: Male
Sole proprietor: Yes
Enumeration date: Mar 4, 2022
Certification date: Mar 4, 2022
Last updated: Mar 4, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223X0400X	Dentist, Orthodontics and Dentofacial Orthopedics	062286	NY	Yes

Practice location

Rm 114 Rockland Hall
Stony Brook, NY 11794-0001

Phone 631-632-8989

Mailing address

Rm 114 Rockland Hall
Stony Brook, NY 11794-0001

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