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STATEN ISLAND PEDIATRIC DENTISTRY
NPI 1053509687
Dentist - Pediatric Dentistry in Staten Island, NY

Active since October 09, 2007
195 BRIDGETOWN ST, STATEN ISLAND, NY 10314(718) 761-7316(718) 761-0558 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Staten Island Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATEN ISLAND PEDIATRIC DENTISTRY (NPI 1053509687) is a healthcare organization registered as a pediatric dentistry in Staten Island, New York and active in the NPI registry since October 2007. The organization lists Deborah Anne Gries, President, as its authorized official.

NPPES Registry Identity

NPI1053509687
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTATEN ISLAND PEDIATRIC DENTISTRY
Location Address195 BRIDGETOWN STStaten Island, NY 10314-6006
Mailing Address195 Bridgetown StStaten Island, NY 10314-6006 · (718) 761-7316 · Fax (718) 761-0558
Phone(718) 761-7316
Fax(718) 761-0558
Organization SubpartNo
Authorized OfficialDeborah Anne GriesPresident · (718) 761-7316
Enumeration DateOctober 9, 2007
✔ NPI 1053509687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NY · 0425291
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

195 BRIDGETOWN ST, Staten Island, NY 10314
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEENA MARIE BELL DDS
Dentist (Pediatric Dentistry)
195 BRIDGETOWN ST
STATEN ISLAND, NY 10314
Richmond County (718) 761-7316
DR. DEBORAH GRIES D.M.D.
Dentist (Pediatric Dentistry)
195 BRIDGETOWN ST
STATEN ISLAND, NY 10314
Richmond County (718) 761-7316
MICHELLE ANNE FLANIGAN D.M.D.
Dentist (Pediatric Dentistry)
195 BRIDGETOWN ST
STATEN ISLAND, NY 10314
Richmond County (718) 761-7316
YELENA LANGE DDS
Dentist
195 BRIDGETOWN ST
STATEN ISLAND, NY 10314
Richmond County (718) 761-7316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staten Island Pediatric Dentistry's NPI number?

The NPI number for Staten Island Pediatric Dentistry is 1053509687. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Staten Island Pediatric Dentistry located?

Staten Island Pediatric Dentistry is located at 195 Bridgetown St, Staten Island, NY 10314. The listed phone number is (718) 761-7316.

What is Staten Island Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Staten Island Pediatric Dentistry was last updated on October 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.