Active NPI
East Ends Tooth Ferry Pediatric Dentistry PLLC
- Pediatric Dentistry
- Southampton, NY
National Provider Identifier
1043629454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 053854
- Legal business name
- EAST ENDS TOOTH FERRY PEDIATRIC DENTISTRY PLLC
- Practice address
- 315 Meeting House LN
Southampton, NY 11968-5051 - Phone
- (631) 204-5700
- Fax
- (631) 204-5701
- NPI assigned
- Aug 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory James Reinhold, DMD
- Title
- Doctor/Owner
- Phone
- (631) 728-1215
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 053854 | NY | Primary |
Addresses
Primary practice location
315 Meeting House LN
Southampton, NY 11968-5051
Mailing address
315 Meeting House LN
Southampton, NY 11968-5051
Phone (631) 204-5700
National Provider Directory
National Provider DirectoryLocations
315 Meeting House Ln
Southampton, NY 11968
Phone (631) 204-5700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Southampton, NY
- NPI 1730306804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407715200000",
"number": "1043629454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685051",
"telephone_number": "631-204-5700",
"fax_number": "631-204-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685051",
"telephone_number": "631-204-5700",
"fax_number": "631-204-5701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST ENDS TOOTH FERRY PEDIATRIC DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-11",
"last_updated": "2014-08-11",
"status": "A",
"authorized_official_last_name": "REINHOLD",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "631-728-1215",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "053854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NY
- Peter Q Dyner, D.P.M.
- East End Anesthesiologists LLC
- East End Kids Psy, SLP, OT & PT Serv. PLLC
- East End Kids Therapy, Inc.
- East End Pain Management, LLC
- Eastern Long Island General and Vascular Surgery PC
- Eastern Long Island Surgery PC
- Eastern Suffolk Urology PC
- Deborah Edelman, LMSW
- Perry Steven Eisman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.