1. Home
  2. Directory
  3. New York
  4. Port Jefferson Station
  5. Dentist
  6. NPI Profile

SUFFOLK PEDIATRIC DENTISTRY
NPI 1598997900
Dentist - Pediatric Dentistry in Port Jefferson Station, NY

Active since August 18, 2009
8 MEDICAL DR, PORT JEFFERSON STATION, NY 11776(631) 928-8585(631) 928-8861 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suffolk Pediatric Dentistry NPPES

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

SUFFOLK PEDIATRIC DENTISTRY (NPI 1598997900) is a healthcare organization registered as a pediatric dentistry in Port Jefferson Station, New York and active in the NPI registry since August 2009. The organization lists Robert Serino, President, as its authorized official.

NPPES Registry Identity

NPI1598997900
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSUFFOLK PEDIATRIC DENTISTRY
Location Address8 MEDICAL DRPort Jefferson Station, NY 11776-1601
Mailing Address8 Medical DrPort Jefferson Station, NY 11776-1601 · (631) 928-8585 · Fax (631) 928-8861
Phone(631) 928-8585
Fax(631) 928-8861
Organization SubpartNo
Authorized OfficialRobert SerinoPresident · (631) 928-8585
Enumeration DateAugust 18, 2009
✔ NPI 1598997900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
Also ListedDental HygienistTaxonomy 124Q00000X
8 MEDICAL DR, Port Jefferson Station, NY 11776
Open in Google Maps ↗

Other Identifiers 1

Medicaid01864713NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MRS. PATRICIA I JUAREZ DMD
Dentist (Pediatric Dentistry)
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-8585
ROBERT J SERINO DDS
Dentist (Pediatric Dentistry)
8 MEDICAL DR
PT JEFFERSON STN, NY 11776
Suffolk County (631) 928-8585
DR. THOMAS GRANDVILLE D.D.S.
Dentist (Pediatric Dentistry)
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-8585
PHILIP MICHAEL CONIGLIO JR. DDS
Dentist (Pediatric Dentistry)
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-8585
YONATAN COHEN D.M.D., MS
Dentist (Orthodontics and Dentofacial Orthopedics)
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-8585

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 Suffolk Pediatric Dentistry's NPI number?

The NPI number for Suffolk Pediatric Dentistry is 1598997900. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Suffolk Pediatric Dentistry located?

Suffolk Pediatric Dentistry is located at 8 Medical Dr, Port Jefferson Station, NY 11776. The listed phone number is (631) 928-8585.

What is Suffolk Pediatric Dentistry'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 Suffolk Pediatric Dentistry was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.