Individual provider · Type 1 NPI

Tara Earls

Pediatric Dentistry · East Patchogue, NY

NPI number 1053975037 Active

Practice location

285 Sills Rd
East Patchogue, NY 11772-4869

Call (631) 289-9000 Map

Mailing address

5 Culver Ct
Melville, NY 11747-1623

Other practice locations

  • Stony Brook School Of Dental Medicine South Drive, Stony Brook, NY 11794-0001 · (631) 632-3181

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X061952 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1053975037

Tara Earls's National Provider Identifier is 1053975037, issued on Apr 25, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in East Patchogue, NY. The record was last updated on Sep 28, 2021.