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

South Shore Pediatric Dentistry PC

Organization Pediatric Dentistry · NPI 1952528341

South Shore Pediatric Dentistry PC is a Pediatric Dentistry in East Patchogue, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

285 Sills Rd Ste 3B
East Patchogue, NY 11772-4869
Phone: (631) 289-9000
Fax: (631) 289-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 048497-1 (NY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 045321-1 (NY)

Record details

NPI number1952528341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Gruber — Owner · (631) 289-9000
NPI enumeratedApril 19, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address285 Sills Rd, Suite 3b, East Patchogue, NY 11772-4869

Other providers in East Patchogue