Provider Demographics
NPI:1952647471
Name:3 STONE DENTAL II, PLLC
Entity Type:Organization
Organization Name:3 STONE DENTAL II, PLLC
Other - Org Name:STONE DENTISTRY & DENTURES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMAN
Authorized Official - Middle Name:U
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:860-444-9345
Mailing Address - Street 1:5663 E CIRCLE DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-8907
Mailing Address - Country:US
Mailing Address - Phone:315-214-0004
Mailing Address - Fax:860-443-0432
Practice Address - Street 1:5663 E CIRCLE DR
Practice Address - Street 2:SUITE 600
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-8907
Practice Address - Country:US
Practice Address - Phone:315-214-0004
Practice Address - Fax:860-443-0432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8727122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051925-1OtherNEW YORK STATE DENTAL LICENSE
1114950607OtherINDIVIDUAL NPI