Organization · Type 2 NPI

South Shore Pediatric Dentistry PC

Orthodontics and Dentofacial Orthopedics Dentistry · East Patchogue, NY

NPI number 1952528341 Active

Practice location

285 Sills Rd, Suite 3B
East Patchogue, NY 11772-4869

Call (631) 289-9000 Map

Fax (631) 289-9009

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X045321-1 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X048497-1 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

57 other providers at this address

About NPI 1952528341

South Shore Pediatric Dentistry PC's National Provider Identifier is 1952528341, issued on Apr 19, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in East Patchogue, NY. The record was last updated on Sep 11, 2025.