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

Wading River Pediatric Dentistry, PC

Organization Pediatric Dentistry · NPI 1750915377

Wading River Pediatric Dentistry, PC is a Pediatric Dentistry in Wading River, New York. Registered with an NPI since 2020.

In the registry since
2020
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

6336 Route 25A
Wading River, NY 11792-2030
Phone: (516) 524-6756
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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 number1750915377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Campisi — President · (516) 524-6756
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address6336 Route 25a, Wading River, NY 11792-2030

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