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PEDIATRIC DENTISTRY OF LONG ISLAND
NPI 1629469499
Clinic/Center - Dental in Medford, NY

Active since February 13, 2015
1719 N OCEAN AVE STE C, MEDFORD, NY 11763(631) 654-4242(631) 654-4291 Get Directions Write a Review

NPPES record last updated: February 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry Of Long Island NPPES

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

PEDIATRIC DENTISTRY OF LONG ISLAND (NPI 1629469499) is a healthcare organization registered as a dental in Medford, New York and active in the NPI registry since February 2015. The organization lists Scott Louis Goldstein, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629469499
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDIATRIC DENTISTRY OF LONG ISLAND
Location Address1719 N OCEAN AVE STE CMedford, NY 11763-2669
Mailing Address1719 N Ocean Ave Ste CMedford, NY 11763-2669 · (631) 654-4242 · Fax (631) 654-4291
Phone(631) 654-4242
Fax(631) 654-4291
Organization SubpartNo
Authorized OfficialScott Louis GoldsteinCeo · (631) 654-4242
Enumeration DateFebruary 13, 2015
✔ NPI 1629469499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NY · 041152
1719 N OCEAN AVE STE C, Medford, NY 11763
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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.

SMILE BIG DENTAL PLLC
Dentist (Pediatric Dentistry)
1719 N OCEAN AVE STE C
MEDFORD, NY 11763
Suffolk County (631) 289-0007
DR. SCOTT LOUIS GOLDSTEIN DDS
Dentist (Pediatric Dentistry)
1719 N OCEAN AVE STE C
MEDFORD, NY 11763
Suffolk County (631) 654-4242
SUPERSMILES DENTAL PLLC
Dentist (Pediatric Dentistry)
1719 N OCEAN AVE STE C
MEDFORD, NY 11763
Suffolk County (631) 289-0007
SUPERSMILES KDS DENTAL PC
Dentist (Pediatric Dentistry)
1719 N OCEAN AVE STE C
MEDFORD, NY 11763
Suffolk County (631) 289-0007

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 Pediatric Dentistry Of Long Island's NPI number?

The NPI number for Pediatric Dentistry Of Long Island is 1629469499. It was assigned to this organization in the NPPES registry on February 13, 2015.

Where is Pediatric Dentistry Of Long Island located?

Pediatric Dentistry Of Long Island is located at 1719 N Ocean Ave Ste C, Medford, NY 11763. The listed phone number is (631) 654-4242.

What is Pediatric Dentistry Of Long Island's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Long Island was last updated on February 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.