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Deactivated NPI 1972784411 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome Eisenstein , DDS

Dentist - General Practice • Stony Brook, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerome Eisenstein has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 26, 2007
NPI Deactivation Date September 30, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Eisenstein, DDS was a registered Dentist - General Practice practicing in Stony Brook, NY. Throughout an active medical career spanning 12 years, Dr. Eisenstein provided care at the practice location at 8 EMMET DR until profile deactivation on 2019-09-30.

Practice Location & Contact Primary Location

Practice Address

8 Emmet Dr

Stony Brook, NY 117902002

Telephone 6317516581
Fax 6317510280

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 DDS027471

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 30, 2019

Record deactivated on September 30, 2019

NPI Profile Active November 26, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 26, 2007

Registered at 8 EMMET DR, STONY BROOK, NY 117902002 (Tel: 6317516581)

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Updated Business Mailing Address November 26, 2007

Registered at 8 EMMET DR, STONY BROOK, NY 117902002 (Tel: 6317516581)

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Provider Name / Credentials Updated November 26, 2007

Recorded as JEROME EISENSTEIN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2007

Dentist (License #DDS027471 in NY)

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Initial NPI Registration & Enumeration November 26, 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: 1972784411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2007
Last Update: November 26, 2007
Deactivation Date: September 30, 2019

Mailing Address

8 Emmet Dr

Stony Brook, NY 117902002

Phone: 6317516581

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.