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SMITH HAVEN DENTAL PLLC
NPI 1477438869
Dentist - General Practice in Lake Grove, NY

Active since August 06, 2025
112 ALEXANDER AVE UNIT A, LAKE GROVE, NY 11755(631) 212-8400(631) 212-8433 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Smith Haven Dental Pllc NPPES

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

SMITH HAVEN DENTAL PLLC (NPI 1477438869) is a healthcare organization registered as a general practice in Lake Grove, New York and active in the NPI registry since August 2025. The organization lists Alla Fishman, Partner, as its authorized official.

NPPES Registry Identity

NPI1477438869
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMITH HAVEN DENTAL PLLC
Location Address112 ALEXANDER AVE UNIT ALake Grove, NY 11755-0429
Mailing Address112 Alexander Ave Unit ALake Grove, NY 11755-0429 · (631) 212-8400 · Fax (631) 212-8433
Phone(631) 212-8400
Fax(631) 212-8433
Organization SubpartNo
Authorized OfficialAlla FishmanPartner · (917) 667-5595
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1477438869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
112 ALEXANDER AVE UNIT A, Lake Grove, NY 11755
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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 Smith Haven Dental PLLC's NPI number?

The NPI number for Smith Haven Dental PLLC is 1477438869. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Smith Haven Dental PLLC located?

Smith Haven Dental PLLC is located at 112 Alexander Ave Unit A, Lake Grove, NY 11755. The listed phone number is (631) 212-8400.

What is Smith Haven Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Smith Haven Dental PLLC was last updated on August 6, 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.