Organization · Type 2 NPI
Shine Pediatric Dentistry
Pediatric Dentistry · Bayside, NY
NPI number
1104758317
Active
Practice location
20012 44th Ave
Bayside, NY 11361-2537
Mailing address
16 Martin Ct
Great Neck, NY 11024-1620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None 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.
2 other providers at this address
Other pediatric dentistry providers in Bayside
About NPI 1104758317
Shine Pediatric Dentistry's National Provider Identifier is 1104758317, issued on Jun 1, 2026. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bayside, NY. The record was last updated on Jun 1, 2026.