STEPHANIE MEDEROS RDH
NPI 1710656681
Dental Hygienist in Lake Grove, NY

Active since September 13, 2021
53 CHESTER ST, LAKE GROVE, NY 11755(631) 455-2971 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Mederos Rdh NPPES

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

STEPHANIE MEDEROS RDH (NPI 1710656681) is an individual dental hygienist in Lake Grove, New York, licensed in New York (02746301) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1710656681
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameSTEPHANIE MEDEROSCredential: RDH
Location Address53 CHESTER STLake Grove, NY 11755-3047
Mailing Address53 Chester StLake Grove, NY 11755-3047 · (631) 455-2971
Sole ProprietorYes
Enumeration DateSeptember 13, 2021
NPPES CertifiedSeptember 13, 2021
NPI 1710656681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in NY · 02746301
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
53 CHESTER ST, Lake Grove, NY 11755

Other Names 1

Former Name (1)Stephanie Taveras Rdh

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 Stephanie Mederos's NPI number?

The NPI number for Stephanie Mederos is 1710656681. It was assigned to this individual provider in the NPPES registry on September 13, 2021. The provider is also known as Stephanie Taveras Rdh.

Where is Stephanie Mederos located?

Stephanie Mederos practices at 53 Chester St, Lake Grove, NY 11755. The listed phone number is (631) 455-2971.

What is Stephanie Mederos's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Mederos was last updated on September 13, 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.