Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shine Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1104758317

Shine Pediatric Dentistry provides Pediatric Dentistry in Bayside, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

20012 44th Ave
Bayside, NY 11361-2537
Phone: (929) 389-1663
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1104758317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elliot Shine — Ceo · (516) 695-0103
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address16 Martin Ct, Great Neck, NY 11024-1620

Other providers in Bayside