| Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc | |
|
1174 Route 112 Ste B Port Jefferson Station NY 11776-8033 | |
| (631) 676-4071 | |
| (516) 588-9221 |
| Full Name | Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1174 Route 112 Ste B, Port Jefferson Station, New York |
| Authorized Official Name and Position | Cynthia Lynn Pastore (INSURANCE COORDINATOR) |
| Authorized Official Contact | 5165488753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc 1174 Route 112 Ste B Port Jefferson Station NY 11776-8033 Ph: (631) 676-4071 | Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc 1174 Route 112 Ste B Port Jefferson Station NY 11776-8033 Ph: (631) 676-4071 |
| NPI Number | 1144921602 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144921602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Drs. Witrock & Axelrod, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy Ste 40, Port Jefferson Station, NY 11776 Phone: 631-928-2830 | |
Asnis Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-473-6400 Fax: 631-396-0452 | |
Gerald Cole,d.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Dr, Port Jefferson Station, NY 11776 Phone: 631-473-8700 | |
Victoria E. Shack, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Dr, Suite D, Port Jefferson Station, NY 11776 Phone: 631-928-7500 | |
Nj Nicastro Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy, Suite 52, Port Jefferson Station, NY 11776 Phone: 631-928-2020 Fax: 631-928-2417 | |
Suffolk Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Dr, Port Jefferson Station, NY 11776 Phone: 631-928-8585 Fax: 631-928-8861 |