Organization · Type 2 NPI

Jericho Orthodontics and Pediatric Dentistry

Pediatric Dentistry · Jericho, NY

NPI number 1992285357 Active

Practice location

325 N Broadway
Jericho, NY 11753-2015

Mailing address

14 Sherwood Ln
Roslyn Heights, NY 11577-2511

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X054937 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X9574651 (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.

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About NPI 1992285357

Jericho Orthodontics and Pediatric Dentistry's National Provider Identifier is 1992285357, issued on Aug 15, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jericho, NY. The record was last updated on Aug 15, 2018.