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SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY
NPI 1417755596
Dentist - Periodontics in Wantagh, NY

Active since March 05, 2025
3366 PARK AVE, WANTAGH, NY 11793(516) 826-4949 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Shore Long Island Periodontics And Implantology NPPES

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

SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY (NPI 1417755596) is a healthcare organization registered as a periodontics in Wantagh, New York and active in the NPI registry since March 2025. The organization lists Joo Kim, Partner, as its authorized official.

NPPES Registry Identity

NPI1417755596
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY
Location Address3366 PARK AVEWantagh, NY 11793-3770
Mailing Address3366 Park AveWantagh, NY 11793-3770 · (516) 826-4949
Phone(516) 826-4949
Organization SubpartNo
Authorized OfficialJoo KimPartner · (516) 826-4949
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1417755596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3366 PARK AVE, Wantagh, NY 11793
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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

Other Providers at the Same Location NPPES 14

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

LOIS BETH LEVINE DDS
Dentist (Periodontics)
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 826-4949
DR. NEIL FINN DDS
Dentist (Periodontics)
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (212) 826-4949
DR. VASILIKI BATALIAS
Dentist (Periodontics)
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 826-4949
KRISTINE GIURCO I MFT LP
Marriage & Family Therapist
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 993-5896
DR. NORMAN EDWARD RICH D.D.S.
Dentist (General Practice)
3366 PARK AVE, STE 112
WANTAGH, NY 11793
Nassau County (516) 785-1188
DR. IRWIN SILVERSMITH DMD
Dentist
3366 PARK AVE, SUITE 201
WANTAGH, NY 11793
Nassau County (516) 785-2255
DR. TODD DARREN POBINER D.M.D.
Dentist (Endodontics)
3366 PARK AVE, SUITE 202
WANTAGH, NY 11793
Nassau County (516) 826-6655
DR. SHAWN GARRETT POBINER DMD
Dentist (Endodontics)
3366 PARK AVE, STE 202
WANTAGH, NY 11793
Nassau County (516) 825-6655

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 South Shore Long Island Periodontics And Implantology's NPI number?

The NPI number for South Shore Long Island Periodontics And Implantology is 1417755596. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is South Shore Long Island Periodontics And Implantology located?

South Shore Long Island Periodontics And Implantology is located at 3366 Park Ave, Wantagh, NY 11793. The listed phone number is (516) 826-4949.

What is South Shore Long Island Periodontics And Implantology's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for South Shore Long Island Periodontics And Implantology was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.