South Shore Smiles Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

050689 Issued in NY

Legal business name

SOUTH SHORE SMILES ORTHODONTICS

Practice address

2655 Merrick Rd
Bellmore, NY 11710-5716

Phone

(516) 783-1121

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

David H Sukoff

Title

Dentist

Phone

(516) 783-1121

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Knoll

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bellmore, NY
  • NPI 1750339735
  NPD (past)

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1275938409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105716",
            "telephone_number": "516-783-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105716",
            "telephone_number": "516-783-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE SMILES ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "SUKOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-783-1121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline May Smyth, NP
• Nathan Solat, O.D.
• William Solz
• South Nassau Primary Medical Care PC
• South Shore Dialysis Inc. - Bellmore
• Samantha Speziale, DPT
• Tanya Spitznagel
• Fred Spivack, RPH
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
• Jeffrey Mark Sroun, DC

• Orthodontics and Dentofacial Orthopedics Dentistry in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.