Michael Gentile
Student in an Organized Health Care Education/Training Program in Stony Brook, NY. Individual provider (NPI-1).
Details
- NPI
- 1831781228
- Entity type
- Individual (NPI-1)
- Name
- Michael Gentile
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2021
- Certification date
- Feb 15, 2021
- Last updated
- Feb 15, 2021
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 |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
Stony Brook School Of Dental Medicine South DriveStony Brook, NY 11794-0001
Phone 631-632-9365
Mailing address
Suny At Stony Brook Hospital Dentistry151 Westchester Hall
Stony Brook, NY 11794-8711
Phone 631-444-2557 · Fax 631-444-6013
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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