Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC
Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC provides Pediatric Dentistry in Port Jefferson Station, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1174 Route 112 Ste BPort Jefferson Station, NY 11776-8033
Phone: (631) 676-4071
Fax: (516) 588-9221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1144921602 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cynthia Pastore — Insurance Coordinator · (516) 548-8753 |
| Other names | Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc |
| NPI enumerated | March 13, 2023 |
| Last updated in NPPES | March 13, 2023 |
| Certification date | March 13, 2023 |
| Mailing address | 1174 Route 112 Ste B, Port Jefferson Station, NY 11776-8033 |
Other providers in Port Jefferson Station
-
Philip Michael Coniglio Jr., DDS
8 Medical Dr, Port Jefferson Station, NY 11776-1601 · (631) 928-8585
-
MS. Maria Eliades, DMD
8 Medical Dr, Port Jefferson Station, NY 11776 · (631) 928-8585
-
Dr. Thomas Grandville, DDS
8 Medical Dr, Port Jefferson Station, NY 11776-1601 · (631) 928-8585
-
Mrs. Patricia I Juarez, DMD
8 Medical Dr, Port Jefferson Station, NY 11776 · (631) 928-8585
-
Suffolk Pediatric Dentistry
8 Medical Dr, Port Jefferson Station, NY 11776-1601 · (631) 928-8585