Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Dentistry of Suffolk County

Organization Dentist · NPI 1407118540

Pediatric Dentistry of Suffolk County provides Dentist services in Commack, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
3

Practice location Address checks out

2171 Jericho Tpke Ste 145
Commack, NY 11725-2937 Not confirmed with CMS for 14 years — call before visiting
Phone: (631) 486-6364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 050315 (NY)
Dentist Taxonomy 122300000X · Licence 053854-1 (NY)
Dentist Taxonomy 122300000X · Licence 054175 (NY)

Record details

NPI number1407118540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ioannou — Pediatric Dentist · (631) 486-6364
NPI enumeratedJune 14, 2012
Last updated in NPPESJune 14, 2012
Mailing address2171 Jericho Tpke, Suite 145, Commack, NY 11725-2937

Other providers in Commack