Pediatric Dentistry of Long Island
Pediatric Dentistry of Long Island is a Dental Clinic/Center in Medford, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
1719 N Ocean Ave Ste CMedford, NY 11763-2669
Phone: (631) 654-4242
Fax: (631) 654-4291
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 041152 (NY) |
|---|
Record details
| NPI number | 1629469499 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scott Goldstein — Ceo · (631) 654-4242 |
| NPI enumerated | February 13, 2015 |
| Last updated in NPPES | February 13, 2015 |
| Mailing address | 1719 N Ocean Ave Ste C, Medford, NY 11763-2669 |