SOUTH SHORE PEDIATRIC DENTISTRY PC
NPI 1952528341
Dentist - Orthodontics and Dentofacial Orthopedics in East Patchogue, NY

Active since April 19, 2007
285 SILLS RD, SUITE 3B, EAST PATCHOGUE, NY 11772(631) 289-9000(631) 289-9009 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About South Shore Pediatric Dentistry Pc NPPES

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

SOUTH SHORE PEDIATRIC DENTISTRY PC (NPI 1952528341) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in East Patchogue, New York and active in the NPI registry since April 2007. The organization lists Ross E Gruber, Owner, as its authorized official.

NPPES Registry Identity

NPI1952528341
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSOUTH SHORE PEDIATRIC DENTISTRY PC
Location Address285 SILLS RD, SUITE 3BEast Patchogue, NY 11772-4869
Mailing Address285 Sills Rd, Suite 3bEast Patchogue, NY 11772-4869 · (631) 289-9000 · Fax (631) 289-9009
Fax(631) 289-9009
Organization SubpartNo
Authorized OfficialRoss E GruberOwner · (631) 289-9000
Enumeration DateApril 19, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1952528341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 048497-1
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 045321-1 (NY)

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

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Specialist
285 SILLS RD, BLDG 16
EAST PATCHOGUE, NY 11772
Prosthetic/Orthotic Supplier
285 SILLS RD, BLDG 4 STE B
EAST PATCHOGUE, NY 11772
Audiologist
285 SILLS RD, BUILDING 10, SUITE A
EAST PATCHOGUE, NY 11772
Dentist (Oral and Maxillofacial Surgery)
285 SILLS RD, BUILDING 2 SUITE A
EAST PATCHOGUE, NY 11772
Dentist (Pediatric Dentistry)
285 SILLS RD
EAST PATCHOGUE, NY 11772
Internal Medicine (Pulmonary Disease)
285 SILLS RD, BUILDING 7, SUITE B
EAST PATCHOGUE, NY 11772
Family Medicine
285 SILLS RD, BLDG 10, SUITE D
EAST PATCHOGUE, NY 11772
Rehabilitation Unit
285 SILLS RD, BUILDING 10 SUITE D
EAST PATCHOGUE, NY 11772

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 South Shore Pediatric Dentistry PC's NPI number?

The NPI number for South Shore Pediatric Dentistry PC is 1952528341. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is South Shore Pediatric Dentistry PC located?

South Shore Pediatric Dentistry PC is located at 285 Sills Rd Suite 3B, East Patchogue, NY 11772. The listed phone number is (631) 289-9000.

What is South Shore Pediatric Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does South Shore Pediatric Dentistry PC accept?

Health plans from UnitedHealthcare list South Shore Pediatric Dentistry PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Shore Pediatric Dentistry PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.