Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC
Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC is a 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