Kid Smiles Pediatric Dentistry of Port Jefferson Station Pllc
NPI #1144921602 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1144921602
- Entity Type
- Organization
- Organization Name
- Kid Smiles Pediatric Dentistry of Port Jefferson Station Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 13, 2023
- Last Updated
- Mar 13, 2023
Practice Location
- Address
- 1174 ROUTE 112 STE B
- State
- New York
- ZIP Code
- 11776-8033
- Phone
- (631) 676-4071
Authorized Official
- Name
- CYNTHIA LYNN PASTORE
- Title
- INSURANCE COORDINATOR
- Phone
- (516) 548-8753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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