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

Supersmiles Kds Dental PC

Organization Pediatric Dentistry · NPI 1376336628

Supersmiles Kds Dental PC is a Pediatric Dentistry in Medford, New York. Registered with an NPI since 2025.

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

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Practice location Address checks out

1719 N Ocean Ave Ste C
Medford, NY 11763-2669
Phone: (631) 289-0007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1376336628
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Branigan — Credentialing · (631) 451-7700
Other names Supersmiles Kds Iv
NPI enumeratedMay 28, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address500 Portion Rd Ste 16, Ronkonkoma, NY 11779-4587

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