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

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1063291045

Dr. Michael Kirshblum is an Orthodontics and Dentofacial Orthopedics Dentistry in Deer Park, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1990 Deer Park Ave
Deer Park, NY 11729-3303
Phone: (631) 586-7654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Portion Rd, Ronkonkoma, NY 11779-4587 — (631) 588-1199

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 063491 (NY)

Record details

NPI number1063291045
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address1990 Deer Park Ave, Deer Park, NY 11729-3303

Other providers in Deer Park