Pediatric Dentistry of Suffolk County II

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY OF SUFFOLK COUNTY II

Practice address

3237 Route 112
Building #6 Suite 7B
Medford, NY 11763-1424

Phone

(631) 320-0880

Fax

(631) 320-3165

NPI assigned

Jul 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Christos A Ioannou, D.D.S.

Title

Pediatric Dentist

Phone

(631) 320-0880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1245527381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 ROUTE 112",
            "address_2": "BUILDING #6 SUITE 7B",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631424",
            "telephone_number": "631-320-0880",
            "fax_number": "631-320-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 ROUTE 112",
            "address_2": "BUILDING #6 SUITE 7B",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631424",
            "telephone_number": "631-320-0880",
            "fax_number": "631-320-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF SUFFOLK COUNTY II",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "IOANNOU",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "631-320-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah S Parsley, LPN
• Shermille J Pascall
• Patchogue-Medford School District
• Patchogue-Medford School District
• Pediatric Dentistry of Long Island
• Awilda Pelaez, LMT
• Rachel L Peralta
• Mashiwa Roukyia Percer, LPN
• Adriana Perez
• David William Perkins, LCSW

• 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 Jul 8, 2011; 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.