Smile Big Dental PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILE BIG DENTAL PLLC

Practice address

1719 N Ocean Ave Ste C
Medford, NY 11763-2669

Phone

(631) 289-0007

NPI assigned

Sep 9, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Branigan

Title

Credentialing Manager

Phone

(631) 451-7700

Specialties & licenses 1

Addresses

Other names 1

• SUPERSMILES PEDIATRIC DENTISTRY 4 Doing business as

Tax ID family

Smile Big Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smile Big Dental PLLC

  • Pediatric Dentistry
  • West Islip, NY
  • NPI 1982575387
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1033090790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORTION RD STE 16",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794587",
            "telephone_number": "631-451-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 N OCEAN AVE STE C",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632669",
            "telephone_number": "631-289-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BIG DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "BRANIGAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "631-451-7700"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERSMILES PEDIATRIC DENTISTRY 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen Simon
• Vlademir Carmel Simon
• Sina Medical Associates Limited Liability Company
• Victoria Sirc
• Carol Marie Sivertsen, RN
• Donna M Smith
• Donna Marie Smith
• Shalah Smith
• Sydney Smith
• Shaun Lamont Snead

• Pediatric Dentistry in Medford, NY
• Providers in Medford, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.