South Shore Pediatric Dentistry Pc

LBN: South Shore Pediatric Dentistry Pc
South Shore Pediatric Dentistry Pc is an health care organization with primary practice located at 285 Sills Rd Suite 3B, East Patchogue NY 11772-4869. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. South Shore Pediatric Dentistry Pc can be contacted via phone (631) 289-9000, or through Gruber, Ross E via phone (631) 289-9000.

Contact Information

Primary practice address
285 Sills Rd Suite 3B East Patchogue NY 11772-4869
Phone: (631) 289-9000
Fax: (631) 289-9009
Website:
Map and Directions
Authorized official contact:
Name: Gruber, Ross E Doctor of Dental Surgery (DDS)
Phone: (631) 289-9000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 045321-1 New York
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 048497-1 New York

Profile Details

NPI number 1952528341
LBN Legal business name South Shore Pediatric Dentistry Pc
DBA Doing business as
Authorized official Gruber, Ross E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

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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