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Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc
Pediatric Dentist in Port Jefferson Station, New York
NPI 1144921602

Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc is a Pediatric Dentist based in Port Jefferson Station, NY and is specialized in Pediatric Dentistry. Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc practices in Port Jefferson Station, NY. The NPI Number for Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc is 1144921602 and holds a License No. (New York).

The current practice location address for Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc is 1174 Route 112 Ste B, Port Jefferson Station, NY and can be reached out via phone at 631-676-4071 and via fax at 516-588-9221.

Location: 1174 Route 112 Ste B, Port Jefferson Station, NY, 11776-8033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144921602
Provider Name
Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc
Credential
Provider Entity Type
Organization
Address
1174 Route 112 Ste B, Port Jefferson Station, NY, 11776-8033
Phone Number
631-676-4071
Fax Number
516-588-9221
Provider Enumeration Date
03/13/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1174 Route 112 Ste B
City
Port Jefferson Station
State
New York
Zip
11776-8033
Phone Number
631-676-4071
Fax Number
516-588-9221
person
Provider Business Mailing Address Details
Address
1174 Route 112 Ste B
City
Port Jefferson Station
State
New York
Zip
11776-8033
Phone Number
631-676-4071
Fax Number
516-588-9221
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
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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