| Shine Pediatric Dentistry | |
|
20012 44th Ave Bayside NY 11361-2537 | |
| (929) 389-1663 | |
| Not Available |
| Full Name | Shine Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 20012 44th Ave, Bayside, New York |
| Authorized Official Name and Position | Elliot Abraham Shine (CEO) |
| Authorized Official Contact | 5166950103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Pediatric Dentistry 16 Martin Ct Great Neck NY 11024-1620 Ph: (516) 695-0103 | Shine Pediatric Dentistry 20012 44th Ave Bayside NY 11361-2537 Ph: (929) 389-1663 |
| NPI Number | 1104758317 |
|---|---|
| Provider Enumeration Date | 06/01/2026 |
| Last Update Date | 06/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104758317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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