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KIDS DENTAL, P.C.
NPI 1376803924
Dentist - Pediatric Dentistry in Staten Island, NY

Active since May 16, 2012
739 WOODRAW ROAD, STATEN ISLAND, NY 10312(718) 356-5437(718) 356-5433 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kids Dental, P.c. NPPES

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

KIDS DENTAL, P.C. (NPI 1376803924) is a healthcare organization registered as a pediatric dentistry in Staten Island, New York and active in the NPI registry since May 2012. The organization lists Lisa Alli-lazzara, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1376803924
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDS DENTAL, P.C.
Location Address739 WOODRAW ROADStaten Island, NY 10312
Mailing Address739 Woodraw RoadStaten Island, NY 10312 · (718) 356-5437 · Fax (718) 356-5433
Phone(718) 356-5437
Fax(718) 356-5433
Organization SubpartNo
Authorized OfficialLisa Alli-lazzaraOwner/president · (917) 582-5042
Enumeration DateMay 16, 2012
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1376803924 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 · 046975
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.
739 WOODRAW ROAD, Staten Island, NY 10312
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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

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 Kids Dental, P.C.'s NPI number?

The NPI number for Kids Dental, P.C. is 1376803924. It was assigned to this organization in the NPPES registry on May 16, 2012.

Where is Kids Dental, P.C. located?

Kids Dental, P.C. is located at 739 Woodraw Road, Staten Island, NY 10312. The listed phone number is (718) 356-5437.

What is Kids Dental, P.C.'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 Kids Dental, P.C. was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.