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

Shine Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1104758317

Shine Pediatric Dentistry is a 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

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