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

Mt Sinai Family Dental

Organization Endodontics · NPI 1205047693

Mt Sinai Family Dental is an Endodontics in Mount Sinai, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
3

Practice location Address checks out

5505 Nesconset Hwy Ste 230
Mount Sinai, NY 11766-2037
Phone: (631) 331-8989
Fax: (631) 331-7962
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 047118 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 047078 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 048342 (NY)

Record details

NPI number1205047693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoinette Derenzo — Office Manager · (631) 331-8989
NPI enumeratedMay 25, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address5505 Nesconset Hwy, Ste. 230, Mount Sinai, NY 11766-2037