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

Pediatric Dentistry of Suffolk County

Organization Dentist · NPI 1407118540

Pediatric Dentistry of Suffolk County is a Dentist in Commack, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
3

Practice location Address checks out

2171 Jericho Tpke Ste 145
Commack, NY 11725-2937
Phone: (631) 486-6364
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 050315 (NY)
Dentist Taxonomy 122300000X · Licence 053854-1 (NY)
Dentist Taxonomy 122300000X · Licence 054175 (NY)

Record details

NPI number1407118540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ioannou — Pediatric Dentist · (631) 486-6364
NPI enumeratedJune 14, 2012
Last updated in NPPESJune 14, 2012
Mailing address2171 Jericho Tpke, Suite 145, Commack, NY 11725-2937

Other providers in Commack