Individual provider · Type 1 NPI

Elliot Abraham Shine, DDS

Pediatric Dentistry · Syosset, NY

NPI number 1548990476 Active

Practice location

25 S Oyster Bay Rd
Syosset, NY 11791-5002

Mailing address

16 Martin Ct
Great Neck, NY 11024-1620

Other practice locations

  • 1201 Northern Blvd Ste 102, Manhasset, NY 11030-3001 · (516) 365-5439
  • 220 Riverside Blvd, New York, NY 10069-1001 · (212) 810-6562

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X22DI02998400 (NJ)
Pediatric Dentistry 1223P0221X27287 (FL)
Pediatric Dentistry Primary 1223P0221X064060 (NY)

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

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About NPI 1548990476

Elliot Abraham Shine, DDS's National Provider Identifier is 1548990476, issued on Jun 14, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Syosset, NY. The record was last updated on Aug 11, 2024.