Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Island Orthodontic, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1558439844

Island Orthodontic, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

500 Portion Rd
Lake Ronkonkoma, NY 11779-4587
Phone: (631) 588-1199
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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 034366 (NY)

Record details

NPI number1558439844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Friedman — Member · (631) 588-1199
NPI enumeratedDecember 3, 2006
Last updated in NPPESMarch 31, 2017
Mailing address500 Portion Rd, Lake Ronkonkoma, NY 11779-4587

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