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SUPERSMILES KDS DENTAL PC
NPI 1376336628
Dentist - Pediatric Dentistry in Medford, NY

Active since May 28, 2025
1719 N OCEAN AVE STE C, MEDFORD, NY 11763(631) 289-0007 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, May 28, 2025 (2 updates tracked since 2025).

About Supersmiles Kds Dental Pc NPPES

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

SUPERSMILES KDS DENTAL PC (NPI 1376336628), doing business as Supersmiles Kds Iv, is a healthcare organization registered as a pediatric dentistry in Medford, New York and active in the NPI registry since May 2025. The organization lists Christine Branigan, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1376336628
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSUPERSMILES KDS DENTAL PC
Location Address1719 N OCEAN AVE STE CMedford, NY 11763-2669
Mailing Address500 Portion Rd Ste 16Ronkonkoma, NY 11779-4587 · (631) 451-7700
Phone(631) 289-0007
Organization SubpartNo
Authorized OfficialChristine BraniganCredentialing · (631) 451-7700
Enumeration DateMay 28, 2025
Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1376336628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
1719 N OCEAN AVE STE C, Medford, NY 11763
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Other Names 1

Doing Business AsSupersmiles Kds Iv

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

SMILE BIG DENTAL PLLC
Dentist (Pediatric Dentistry)
1719 N OCEAN AVE STE C
MEDFORD, NY 11763
Suffolk County (631) 289-0007
DR. SCOTT LOUIS GOLDSTEIN DDS
Dentist (Pediatric Dentistry)
1719 N OCEAN AVE STE C
MEDFORD, NY 11763
Suffolk County (631) 654-4242
SUPERSMILES DENTAL PLLC
Dentist (Pediatric Dentistry)
1719 N OCEAN AVE STE C
MEDFORD, NY 11763
Suffolk County (631) 289-0007
PEDIATRIC DENTISTRY OF LONG ISLAND
Clinic/Center (Dental)
1719 N OCEAN AVE STE C
MEDFORD, NY 11763
Suffolk County (631) 654-4242

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 Supersmiles Kds Dental PC's NPI number?

The NPI number for Supersmiles Kds Dental PC is 1376336628. It was assigned to this organization in the NPPES registry on May 28, 2025. The provider is doing business as Supersmiles KDS IV.

Where is Supersmiles Kds Dental PC located?

Supersmiles Kds Dental PC is located at 1719 N Ocean Ave Ste C, Medford, NY 11763. The listed phone number is (631) 289-0007.

What is Supersmiles Kds Dental PC'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 Supersmiles Kds Dental PC was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.