NPI Index

DR. MITCHELL DUCKWORTH, DDS

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1649530601

Practice Address

STONY BROOK UNIVERSITY HOSPITAL DEPT OF
Stony Brook, NY 11794

Phone: (631) 444-2557

Specialties

Specialty Code Primary License
Dentist - Dental Anesthesiology 1223D0004X No 8926334-9924 (UT)
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1649530601 is the National Provider Identifier for DR. MITCHELL DUCKWORTH, DDS, a Student in an Organized Health Care Education/Training Program provider located in Stony Brook, NY. This NPI was enumerated on May 24, 2012.
DR. MITCHELL DUCKWORTH, DDS practices at STONY BROOK UNIVERSITY HOSPITAL DEPT OF, Stony Brook, NY 11794.

Quick Facts

NPI
1649530601
Type
Individual
Enumerated
May 24, 2012
Last Updated
May 19, 2025

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