SHINING SMILES PEDIATRIC DENTISTRY, P.C.; NPI #1801294335

Contact Information

SHINING SMILES PEDIATRIC DENTISTRY, P.C.

444 COMMUNITY DR STE 201
MANHASSET, NY 11030

Phone: 516-487-5437
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for SHINING SMILES PEDIATRIC DENTISTRY, P.C.

NPI # 1801294335

LBN Legal business name SHINING SMILES PEDIATRIC DENTISTRY, P.C.

Authorized official ROD STERN - (PEDIATRIC DENTIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/16/2014

Last updated 07/18/2018 - About 8 years ago

Identifiers

License #

056227

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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