South Shore Pediatric Dentistry PC
South Shore Pediatric Dentistry PC provides Pediatric Dentistry in East Patchogue, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
285 Sills Rd Ste 3BEast Patchogue, NY 11772-4869
Phone: (631) 289-9000
Fax: (631) 289-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 048497-1 (NY) |
|---|---|
| Pediatric Dentistry | Taxonomy 1223P0221X · Licence 045321-1 (NY) |
Record details
| NPI number | 1952528341 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ross Gruber — Owner · (631) 289-9000 |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 285 Sills Rd, Suite 3b, East Patchogue, NY 11772-4869 |
Other providers in East Patchogue
-
Dr. Tara Earls
285 Sills Rd, East Patchogue, NY 11772-4869 · (631) 289-9000
-
Dr. Ross Evan Gruber, DDS
285 Sills Rd Ste 3B, East Patchogue, NY 11772-4869 · (631) 289-9000
-
Dr. Howard Richard Miller, DMD
285 Sills Rd Bldg 3B, East Patchogue, NY 11772-4856 · (631) 289-9000