Suffolk Pediatric Dentistry
LBN: Suffolk Pediatric Dentistry
Suffolk Pediatric Dentistry is an health care organization with primary practice located at 8 Medical Dr , Port Jefferson Station NY 11776-1601. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Suffolk Pediatric Dentistry can be contacted via phone (631) 928-8585, or through Serino, Robert via phone (631) 928-8585.
Contact Information
Primary practice address
8 Medical Dr
Port Jefferson Station NY 11776-1601
Phone: (631) 928-8585
Fax: (631) 928-8861
Website:
Authorized official contact:
Name: Serino, Robert Doctor of Dental Surgery (DDS)
Phone: (631) 928-8585
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | ||
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1598997900 |
|---|---|
| LBN Legal business name | Suffolk Pediatric Dentistry |
| DBA Doing business as | |
| Authorized official | Serino, Robert Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2009 |
| Last updated | Aug 18th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598997900 | NPPES |
| New York | MEDICAID | 01864713 |
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