Organization · Type 2 NPI
Supersmiles KDS Dental PC
Pediatric Dentistry · Commack, NY
NPI number
1528864170
Active
Practice location
5036 Jericho Tpke Ste 307
Commack, NY 11725-2812
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.
2 other providers at this address
Other pediatric dentistry providers in Commack
About NPI 1528864170
Supersmiles KDS Dental PC's National Provider Identifier is 1528864170, issued on Feb 24, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Commack, NY. The record was last updated on Feb 24, 2025.