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SUPERSMILES KDS DENTAL PC
NPI 1750271243
Dentist - Pediatric Dentistry in West Islip, NY

Active since July 07, 2025
456 UNION BLVD, WEST ISLIP, NY 11795(631) 576-0055 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Supersmiles Kds Dental Pc NPPES

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

SUPERSMILES KDS DENTAL PC (NPI 1750271243), doing business as Supersmiles Kds Iii, is a healthcare organization registered as a pediatric dentistry in West Islip, New York and active in the NPI registry since July 2025. The organization lists Christine Branigan, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1750271243
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSUPERSMILES KDS DENTAL PC
Location Address456 UNION BLVDWest Islip, NY 11795-3104
Mailing Address500 Portion Rd Ste 16Ronkonkoma, NY 11779-4587 · (631) 451-7700
Phone(631) 576-0055
Organization SubpartNo
Authorized OfficialChristine BraniganCredentialing Manager · (631) 451-7700
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1750271243 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.
456 UNION BLVD, West Islip, NY 11795
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Other Names 1

Doing Business AsSupersmiles Kds Iii

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 2

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

SUPERSMILES DENTAL PLLC
Dentist (Pediatric Dentistry)
456 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 576-0055
SMILE BIG DENTAL PLLC
Dentist (Pediatric Dentistry)
456 UNION BLVD
WEST ISLIP, NY 11795
Suffolk County (631) 576-0055

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 Supersmiles Kds Dental PC's NPI number?

The NPI number for Supersmiles Kds Dental PC is 1750271243. It was assigned to this organization in the NPPES registry on July 7, 2025. The provider is doing business as Supersmiles KDS III.

Where is Supersmiles Kds Dental PC located?

Supersmiles Kds Dental PC is located at 456 Union Blvd, West Islip, NY 11795. The listed phone number is (631) 576-0055.

What is Supersmiles Kds Dental PC'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 Supersmiles Kds Dental PC was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.