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Mitchell Duckworth, DDS
NPI 1649530601 · on the registry since 2012
Practice
- Address
- Stony Brook University Hospital Dept Of
Stony Brook, NY 11794 - Phone
- (631) 444-2557
- Fax
- (631) 444-6013
- Organisation at this address
- Stonybrook University Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 132
Additional practice sites
- 5136 S Cottonwood Ln, Holladay, UT
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 1223D0004X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York