Organization · Type 2 NPI
Supersmiles Dental PLLC
Pediatric Dentistry · Medford, NY
NPI number
1255124509
Active
Practice location
1719 N Ocean Ave Ste C
Medford, NY 11763-2669
Mailing address
500 Portion Rd Ste 16
Ronkonkoma, NY 11779-4587
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.
4 other providers at this address
Other pediatric dentistry providers in Medford
About NPI 1255124509
Supersmiles Dental PLLC's National Provider Identifier is 1255124509, issued on May 28, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Medford, NY. The record was last updated on Jul 7, 2025.