Kiddsmiles DDS 3 PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KIDDSMILES DDS 3 PLLC

Doing business as

Kiddsmiles DDS 3 PLLC

Practice address

315 Main St Ste 315-I
Holbrook, NY 11741-1524

Phone

(631) 254-5437

Fax

(631) 676-4071

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Hutter

Title

Insurance Coordinator

Phone

(631) 576-4254

Specialties & licenses 1

Addresses

Other names 1

• Kiddsmiles DDS 3 PLLC Doing business as

Locations

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1235529678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MAIN ST STE 315-I",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411524",
            "telephone_number": "631-254-5437",
            "fax_number": "631-676-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MAIN ST STE 315-I",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411524",
            "telephone_number": "631-254-5437",
            "fax_number": "631-676-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDSMILES DDS 3 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "631-576-4254",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "Kiddsmiles DDS 3 PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• C12 Karpinsky, LPN
• Merve Kaya
• Erika Keaster
• Eleanor Marie Keegan
• Alice Mary Kelly-Tobin, NP
• Kaitlyn Killeen
• Maria Killeen, MARIA KILLEEN
• Jillian Kirschenheiter
• Kaylyn Marie Kirschenheiter
• Mitchell Kleinberg, M.D.

• Pediatric Dentistry in Holbrook, NY
• Providers in Holbrook, 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 Jan 23, 2015; 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.