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WADING RIVER PEDIATRIC DENTISTRY, PC
NPI 1750915377
Dentist - Pediatric Dentistry in Wading River, NY

Active since February 24, 2020
6336 ROUTE 25A, WADING RIVER, NY 11792(516) 524-6756 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wading River Pediatric Dentistry, Pc NPPES

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

WADING RIVER PEDIATRIC DENTISTRY, PC (NPI 1750915377) is a healthcare organization registered as a pediatric dentistry in Wading River, New York and active in the NPI registry since February 2020. The organization lists Jeffrey Campisi, President, as its authorized official.

NPPES Registry Identity

NPI1750915377
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWADING RIVER PEDIATRIC DENTISTRY, PC
Location Address6336 ROUTE 25AWading River, NY 11792-2030
Mailing Address6336 Route 25aWading River, NY 11792-2030 · (516) 524-6756
Phone(516) 524-6756
Organization SubpartNo
Authorized OfficialJeffrey CampisiPresident · (516) 524-6756
Enumeration DateFebruary 24, 2020
✔ NPI 1750915377 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.
6336 ROUTE 25A, Wading River, NY 11792
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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.

DR. JEFFREY P CAMPISI DDS
Dentist (Pediatric Dentistry)
6336 ROUTE 25A
WADING RIVER, NY 11792
Suffolk County (631) 929-1234

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 Wading River Pediatric Dentistry, PC's NPI number?

The NPI number for Wading River Pediatric Dentistry, PC is 1750915377. It was assigned to this organization in the NPPES registry on February 24, 2020.

Where is Wading River Pediatric Dentistry, PC located?

Wading River Pediatric Dentistry, PC is located at 6336 Route 25A, Wading River, NY 11792. The listed phone number is (516) 524-6756.

What is Wading River Pediatric Dentistry, 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 Wading River Pediatric Dentistry, PC was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.