Individual
DR. KEITH JERRY VIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9, STONY BROOK, NY 11794-7097
(631) 444-2754
(631) 444-6031
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9, STONY BROOK, NY 11794-7097
(631) 444-2754
(631) 444-6031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055638
NY
Other
Enumeration date
04/27/2010
Last updated
11/13/2023
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