DR. ELLIOT ABRAHAM SHINE DDS
NPI 1548990476
Dentist - Pediatric Dentistry in Syosset, NY

Active since June 14, 2022
25 S OYSTER BAY RD, SYOSSET, NY 11791(516) 365-5439 Get Directions Write a Review

NPPES record last updated: August 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elliot Abraham Shine Dds NPPES

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

DR. ELLIOT ABRAHAM SHINE DDS (NPI 1548990476) is an individual pediatric dentistry provider in Syosset, New York, licensed in New York (064060) and active in the NPI registry since June 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548990476
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ELLIOT ABRAHAM SHINECredential: DDS
Location Address25 S OYSTER BAY RDSyosset, NY 11791-5002
Mailing Address16 Martin CtGreat Neck, NY 11024-1620 · (516) 695-0103
Sole ProprietorNo
Enumeration DateJune 14, 2022
Last NPPES UpdateAugust 11, 2024
NPPES CertifiedAugust 11, 2024
NPI 1548990476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in NY · 064060 Licensed in NJ · 22DI02998400 Licensed in FL · 27287
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.
25 S OYSTER BAY RD, Syosset, NY 11791

Secondary Practice Locations 2

Location 11201 Northern Blvd Ste 102Manhasset, NY 11030-3001 · Phone (516) 365-5439
Location 2220 Riverside BlvdNew York, NY 10069-1001 · Phone (212) 810-6562

Other Identifiers 1

Other13-3971298NY · Employee Identification Number

Accepted Insurance

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.

Dentist (Pediatric Dentistry)
25 S OYSTER BAY RD
SYOSSET, NY 11791
Dentist (Pediatric Dentistry)
25 S OYSTER BAY RD
SYOSSET, NY 11791
Dentist (Pediatric Dentistry)
25 S OYSTER BAY RD
SYOSSET, NY 11791
Dentist (Pediatric Dentistry)
25 S OYSTER BAY RD
SYOSSET, NY 11791

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 Elliot Shine's NPI number?

The NPI number for Elliot Shine is 1548990476. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Elliot Shine located?

Elliot Shine practices at 25 S Oyster Bay Rd, Syosset, NY 11791. The listed phone number is (516) 365-5439.

What is Elliot Shine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Elliot Shine accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Elliot Shine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elliot Shine was last updated on August 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.