| Supersmiles Kds Dental Pc | |
|
1719 N Ocean Ave Ste C Medford NY 11763-2669 | |
| (631) 289-0007 | |
| Not Available |
| Full Name | Supersmiles Kds Dental Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1719 N Ocean Ave Ste C, Medford, New York |
| Authorized Official Name and Position | Christine Branigan (CREDENTIALING) |
| Authorized Official Contact | 6314517700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supersmiles Kds Dental Pc 500 Portion Rd Ste 16 Ronkonkoma NY 11779-4587 Ph: (631) 451-7700 | Supersmiles Kds Dental Pc 1719 N Ocean Ave Ste C Medford NY 11763-2669 Ph: (631) 289-0007 |
| NPI Number | 1376336628 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 07/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376336628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Dr. Frank C. Perry D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Southaven Ave., Ste A, Medford, NY 11763 Phone: 631-654-0707 Fax: 631-207-8466 | |
Pediatric Dentistry Of Suffolk County Ii Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3237 Route 112, Building #6 Suite 7b, Medford, NY 11763 Phone: 631-320-0880 Fax: 631-320-3165 | |
Supersmiles Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1719 N Ocean Ave Ste C, Medford, NY 11763 Phone: 631-289-0007 | |
Gary A. Rosenfeld, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Route 112, Suite A, Medford, NY 11763 Phone: 631-286-9000 | |
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