Organization · Type 2 NPI

Distinctive Dental Services of New York PC

Pediatric Dentistry · Great Neck, NY

NPI number 1205970332 Active

Practice location

173 E Shore Rd, Suite 201
Great Neck, NY 11023-2415

Fax (516) 487-8394

Mailing address

173 East Shore Rd, Suite 201
Great Neck, NY 11023

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X054882 (NY)
Dental Anesthesiology 1223D0004X34227 (NY)
Dental Anesthesiology 1223D0004X054882 (NY)
General Practice Dentistry 1223G0001XNone listed
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.

5 other providers at this address

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About NPI 1205970332

Distinctive Dental Services of New York PC's National Provider Identifier is 1205970332, issued on Feb 20, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Great Neck, NY. The record was last updated on Jun 18, 2013.