Commack Pediatric Dentistry, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COMMACK PEDIATRIC DENTISTRY, P.C.

Practice address

2171 Jericho Tpke Ste 145
Commack, NY 11725-2900

Phone

(631) 670-6580

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Rod Stern, D.D.S.NPI 1699062588

Title

Pediatric Dentist

Phone

(631) 670-6580

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rod Stern, D.D.S.

  • Pediatric Dentistry
  • Manhasset, NY
  • NPI 1699062588
  NPD Authorized official

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1609536390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 145",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252900",
            "telephone_number": "631-670-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 145",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252900",
            "telephone_number": "631-670-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMACK PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "631-670-6580",
        "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": []
}

• Commack Dental Design PLLC
• Commack Drug and Surgical and Gifts
• Commack Endodontics PC
• Commack Oral and Maxillofacial Surgeons PC
• Commack Pediatric Dental Assoc LLP
• Commack RX Pharmacy Inc
• Commack School District
• Commack School District
• Commack Speech & Language Disorders, PLLC
• Commack Ufsd

• Pediatric Dentistry in Commack, NY
• Providers in Commack, 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 Dec 22, 2021; 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.