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

Smith Haven Dental PLLC

Organization General Practice Dentistry · NPI 1477438869

Smith Haven Dental PLLC is a General Practice Dentistry in Lake Grove, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Alexander Ave Unit A
Lake Grove, NY 11755-0429
Phone: (631) 212-8400
Fax: (631) 212-8433
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1477438869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alla Fishman — Partner · (917) 667-5595
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address112 Alexander Ave Unit A, Lake Grove, NY 11755-0429

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