KIDDSMILES PLLC (NPI# 1861882201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861882201 |
| Entity Type | Organization |
| Organization Name | KIDDSMILES PLLC |
| Other Organization Name | KIDDSMILES PLLC |
| Practice Address |
1476 Deer Park Ave Ste 2 North Babylon NY 11703-1200 |
| Practice Telephone | 6312545437 |
| Practice Fax Number | 6319405943 |
| Mailing Telephone | 6312545437 |
| Mailing Fax Number | 6319405943 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | MRS. DANA HUTTER (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 6315764254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kiddsmiles PLLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073729794 | Kiddsmiles Pllc | Clinic/Center | 1201 Northern Blvd, Manhasset, NY 11030 | 2007-05-16 |
| Street Address |
1476 DEER PARK AVE STE 2 |
| City | NORTH BABYLON |
| State | NY |
| Zip Code | 11703-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609154723 | Reesha Patel Shah | Dentist | 1476 Deer Park Ave Ste 2, North Babylon, NY 11703-1200 | 2011-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405980 | Esther Williams Ekanem | Counselor | 391 Nelligan Ct, North Babylon, NY 11703 | 2018-11-10 |
| 1063968782 | Kimberly Myers | Speech-Language Pathologist | 523 Polaris Street, North Babylon, NY 11703 | 2016-09-01 |
| 1760830749 | Christian Nursing Registry | Nursing Care | 11 Faulkner Ave, North Babylon, NY 11703 | 2016-05-31 |
| 1932475308 | Michael Henry Polcino | Surgery | 796 Deep Park Avenue, North Babylon, NY 11703 | 2012-03-29 |
| 1801175468 | Jean Emelda Swan | Registered Nurse | 619 Mount Avenue, North Babylon, NY 11703 | 2011-08-12 |
| 1124354303 | Kim Shek | Registered Nurse | 134 Colonial Road, North Babylon, NY 11703 | 2009-10-23 |
| 1861633398 | Christine Ann Hedley | Registered Nurse | 91 East Shore Drive, Babylon, NY 11703 | 2009-03-12 |
| 1720232788 | Muriel Ellen Mccleave | Registered Nurse | 746 Deer Park Ave., No. Babylon, NY 11703 | 2008-11-04 |
| 1467625624 | Kathleen Uzzi Jeremiah | Nurse Practitioner | 1486 Deer Park, Unit A, North Babylon, NY 11703 | 2008-04-09 |
| 1992864938 | Jason B Hitner | Pediatrics | 925 Deer Park Ave, North Babylon, NY 11703 | 2006-12-06 |
| Find all providers in zip 11703 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609154723 | Reesha Patel Shah | Dentist | 1476 Deer Park Ave Ste 2, North Babylon, NY 11703-1200 | 2011-07-22 |
| 1114305661 | Kafi Charles | Dentist | 1476 Deer Park Ave, North Babylon, NY 11703 | 2015-05-15 |
| 1942514989 | Amy Honig | Dentist | 1476 Deer Park Ave, Suite 2, North Babylon, NY 11703-1200 | 2010-08-02 |
| 1447402847 | Rania Elbaz | Dentist | 1476 Deer Park Ave, North Babylon, NY 11703-1200 | 2008-10-16 |
| 1053561324 | Homa Sara Samimi | Dentist | 1476 Deer Park Ave, Suite #2, North Babylon, NY 11703-1200 | 2008-09-23 |
| 1396946026 | Michele Kaider-alstodt | Dentist | 1476 Deer Park Ave, Suite 2, North Babylon, NY 11703-1200 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BABYLON |
| Zip Code | 11703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.