SUFFOLK DENTAL CARE, PC
NPI 1336749530
Dentist in Coram, NY

Active since October 27, 2020
3650 ROUTE 112 STE 105, CORAM, NY 11727(631) 732-3400(631) 732-3401 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suffolk Dental Care, Pc NPPES

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

SUFFOLK DENTAL CARE, PC (NPI 1336749530) is a healthcare organization registered as a dentist in Coram, New York and active in the NPI registry since October 2020. The organization lists Johanny Rodriguez, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1336749530
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUFFOLK DENTAL CARE, PC
Location Address3650 ROUTE 112 STE 105Coram, NY 11727-4131
Mailing Address1040 1st Ave # 393New York, NY 10022-2991
Fax(631) 732-3401
Organization SubpartNo
Authorized OfficialJohanny RodriguezDirector Of Operations · (917) 583-5457
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1336749530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3650 ROUTE 112 STE 105, Coram, NY 11727

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

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 Suffolk Dental Care, PC's NPI number?

The NPI number for Suffolk Dental Care, PC is 1336749530. It was assigned to this organization in the NPPES registry on October 27, 2020.

Where is Suffolk Dental Care, PC located?

Suffolk Dental Care, PC is located at 3650 Route 112 Ste 105, Coram, NY 11727. The listed phone number is (631) 732-3400.

What is Suffolk Dental Care, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Suffolk Dental Care, PC was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.