SHINING SMILES PEDIATRIC DENTISTRY, P.C. – NPI #1801294335
Clinic/Center

SHINING SMILES PEDIATRIC DENTISTRY, P.C. is an AHC clinic located in MANHASSET, NY. NPPES has assigned the NPI number 1801294335 to SHINING SMILES PEDIATRIC DENTISTRY, P.C. on December 16, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Jul 18, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHINING SMILES PEDIATRIC DENTISTRY, P.C. below.

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

NPI Number
1801294335
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHINING SMILES PEDIATRIC DENTISTRY, P.C.
Primary location
444 COMMUNITY DR STE 201
MANHASSET, NY 11030
Phone: (516) 487-5437 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROD STERN
PEDIATRIC DENTIST
Phone: (516) 487-5437
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 NY 056227

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.