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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEDIATRIC DENTISTRY OF SUFFOLK COUNTY

Active Organization

PEDIATRIC DENTISTRY OF SUFFOLK COUNTY is a Dentist organization located in COMMACK, New York. NPI 1407118540 is currently active in the NPPES registry. Verify at CMS.

Dentist · COMMACK, NY

Registration Details

NPI Number
1407118540
Provider Type
Organization
NPI Issued
Jun 14, 2012 (14.207750810511 yrs)
Last Updated
Jun 14, 2012
Licenses
053854-1 (NY)
054175 (NY)
050315 (NY)

Practice Information

Address
2171 JERICHO TPKE
SUITE 145
COMMACK, NY, 117252937
Browse NY providers · Browse ZIP 11725
Phone
6314866364
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.