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Active NPI 1063551877 Individual Practitioner Male Practitioner

Dr. John Arthur Primavera , DDS

Dentist - General Practice • Stony Brook, NY

Professional Overview & Biography Verified Profile Summary

Dr. John Primavera, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stony Brook, NY. Practice services are available at 1239 N COUNTRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1239 N Country Rd

Stony Brook, NY 117901934

Telephone 6317510099
Fax 6317512557
Associated Practice Facility / Clinic
🏢 Steven Reichman Dds Pllc Facility NPI 1891989273

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stony Brook, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Stony Brook, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 027318

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Rocco Morelli , DDS

Dentist - General Practice

NPI 1013181585

Doctor of Dental Surgery

Dr. Pamela Combs , DDS

Dentist - General Practice

NPI 1922070564

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1239 N COUNTRY RD, STONY BROOK, NY 117901934 (Tel: 6317510099)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1239 N COUNTRY RD, STONY BROOK, NY 117901934 (Tel: 6317510099)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PRIMAVERA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #027318 in NY)

🟢
Initial NPI Registration & Enumeration February 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063551877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1239 N Country Rd

Stony Brook, NY 117901934

Phone: 6317510099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.