Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc

LBN: Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc
Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc is an health care organization with primary practice located at 1174 Route 112 Ste B , Port Jefferson Station NY 11776-8033. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc can be contacted via phone (631) 676-4071, or through Pastore, Cynthia Lynn via phone (516) 548-8753.

Contact Information

Primary practice address
1174 Route 112 Ste B Port Jefferson Station NY 11776-8033
Phone: (631) 676-4071
Fax: (516) 588-9221
Website:
Map and Directions
Authorized official contact:
Name: Pastore, Cynthia Lynn
Phone: (516) 548-8753

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1144921602
LBN Legal business name Kid Smiles Pediatric Dentistry Of Port Jefferson Station Pllc
DBA Doing business as
Authorized official Pastore, Cynthia Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2023
Last updated Mar 13th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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