Organization · Type 2 NPI
Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC
Pediatric Dentistry · Port Jefferson Station, NY
NPI number
1144921602
Active
Practice location
1174 Route 112 Ste B
Port Jefferson Station, NY 11776-8033
Fax (516) 588-9221
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.
Other pediatric dentistry providers in Port Jefferson Station
About NPI 1144921602
Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC's National Provider Identifier is 1144921602, issued on Mar 13, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 13, 2023.