Organization · Type 2 NPI
Supersmiles KDS Dental PC
Pediatric Dentistry · Riverhead, NY
NPI number
1922586841
Active
Practice location
750 Roanoke Ave
Riverhead, NY 11901-2791
Fax (631) 727-8589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 053121 (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.
Another provider at this address
Other pediatric dentistry providers in Riverhead
About NPI 1922586841
Supersmiles KDS Dental PC's National Provider Identifier is 1922586841, issued on Aug 2, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Riverhead, NY. The record was last updated on Feb 24, 2025.