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Individual

DR. DANIEL SCOTT KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., D.M.D.

Contact information

Practice address
2500 NESCONSET HWY BLDG 11A, STONY BROOK, NY 11790-2553
(631) 203-2691
Mailing address
2500 NESCONSET HWY BLDG 11A, STONY BROOK, NY 11790-2553
(631) 203-2691

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
063873
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D13718
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
232
OK
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
29839
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
68357
MN

Other

Enumeration date
05/19/2016
Last updated
06/07/2024
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