SUPERSMILES KDS DENTAL PC
NPI 1922586841
Dentist - Pediatric Dentistry in Riverhead, NY

Active since August 02, 2018
750 ROANOKE AVE, RIVERHEAD, NY 11901(631) 727-8585(631) 727-8589 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Sep 22, 2022, Aug 17, 2018 and 1 more (4 updates tracked since 2018).

About Supersmiles Kds Dental Pc NPPES

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

SUPERSMILES KDS DENTAL PC (NPI 1922586841), doing business as Sunny Smiles 4 Kids, is a healthcare organization registered as a pediatric dentistry in Riverhead, New York and active in the NPI registry since August 2018. The organization lists Paraskevas Kourtsounis, Owner, as its authorized official.

NPPES Registry Identity

NPI1922586841
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSUPERSMILES KDS DENTAL PC
Location Address750 ROANOKE AVERiverhead, NY 11901-2791
Mailing Address750 Roanoke AveRiverhead, NY 11901 · (631) 727-8585 · Fax (631) 727-8589
Fax(631) 727-8589
Organization SubpartNo
Authorized OfficialParaskevas KourtsounisOwner · (631) 451-7700
Enumeration DateAugust 2, 2018
Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1922586841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 053121
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.
750 ROANOKE AVE, Riverhead, NY 11901

Other Names 1

Doing Business AsSunny Smiles 4 Kids

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)
750 ROANOKE AVE
RIVERHEAD, NY 11901

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 1922586841. It was assigned to this organization in the NPPES registry on August 2, 2018. The provider is doing business as Sunny Smiles 4 Kids.

Where is Supersmiles Kds Dental PC located?

Supersmiles Kds Dental PC is located at 750 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 727-8585.

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 February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.