COMMACK PEDIATRIC DENTISTRY, P.C.
NPI 1609536390
Dentist - Pediatric Dentistry in Commack, NY

Active since December 22, 2021
2171 JERICHO TPKE STE 145, COMMACK, NY 11725(631) 670-6580 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Commack Pediatric Dentistry, P.c. NPPES

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

COMMACK PEDIATRIC DENTISTRY, P.C. (NPI 1609536390) is a healthcare organization registered as a pediatric dentistry in Commack, New York and active in the NPI registry since December 2021. The organization lists Rod Stern, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1609536390
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOMMACK PEDIATRIC DENTISTRY, P.C.
Location Address2171 JERICHO TPKE STE 145Commack, NY 11725-2900
Mailing Address2171 Jericho Tpke Ste 145Commack, NY 11725-2900 · (631) 670-6580
Organization SubpartNo
Authorized OfficialRod SternPediatric Dentist · (631) 670-6580
Enumeration DateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
NPI 1609536390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2171 JERICHO TPKE STE 145, Commack, NY 11725

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

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

Dentist (Pediatric Dentistry)
2171 JERICHO TPKE STE 145
COMMACK, NY 11725

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 Commack Pediatric Dentistry, P.C.'s NPI number?

The NPI number for Commack Pediatric Dentistry, P.C. is 1609536390. It was assigned to this organization in the NPPES registry on December 22, 2021.

Where is Commack Pediatric Dentistry, P.C. located?

Commack Pediatric Dentistry, P.C. is located at 2171 Jericho Tpke Ste 145, Commack, NY 11725. The listed phone number is (631) 670-6580.

What is Commack Pediatric Dentistry, 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 Commack Pediatric Dentistry, P.C. was last updated on December 22, 2021. 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.