| Supersmiles Dental Pllc | |
|
456 Union Blvd West Islip NY 11795-3104 | |
| (631) 576-0055 | |
| Not Available |
| Full Name | Supersmiles Dental Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 456 Union Blvd, West Islip, New York |
| Authorized Official Name and Position | Christine Branigan (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6314517700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supersmiles Dental Pllc 500 Portion Rd Ste 16 Ronkonkoma NY 11779-4587 Ph: (631) 451-7700 | Supersmiles Dental Pllc 456 Union Blvd West Islip NY 11795-3104 Ph: (631) 576-0055 |
| NPI Number | 1932099520 |
|---|---|
| Provider Enumeration Date | 07/07/2025 |
| Last Update Date | 07/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932099520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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