Organization · Type 2 NPI

Pediatric Dentistry Community Drive Great Neck PC

Pediatric Dentistry · Great Neck, NY

NPI number 1013871573 Active

Practice location

225 Community Dr Ste 170
Great Neck, NY 11021-5503

Fax (516) 231-9164

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1013871573

Pediatric Dentistry Community Drive Great Neck PC's National Provider Identifier is 1013871573, issued on Dec 10, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Great Neck, NY. The record was last updated on Dec 10, 2025.