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Suffolk Pediatric Dentistry Pc
Pediatric Dentist in Port Jefferson Station, New York
NPI 1609915883

Suffolk Pediatric Dentistry Pc is a Pediatric Dentist based in Port Jefferson Station, NY and is specialized in Pediatric Dentistry. Suffolk Pediatric Dentistry Pc practices in Port Jefferson Station, NY. The NPI Number for Suffolk Pediatric Dentistry Pc is 1609915883 and holds a License No. (New York).

The current practice location address for Suffolk Pediatric Dentistry Pc is 8 Medical Drive, Port Jefferson Station, NY and can be reached out via phone at 631-928-8585 and via fax at 631-928-8861.

Location: 8 Medical Drive, Port Jefferson Station, NY, 11776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609915883
Provider Name
Suffolk Pediatric Dentistry Pc
Credential
Provider Entity Type
Organization
Address
8 Medical Drive, Port Jefferson Station, NY, 11776
Phone Number
631-928-8585
Fax Number
631-928-8861
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01864713 05 NY
institution
Provider Business Practice Location Address Details
Address
8 Medical Drive
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-928-8585
Fax Number
631-928-8861
person
Provider Business Mailing Address Details
Address
8 Medical Drive
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-928-8585
Fax Number
631-928-8861
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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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