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Coniglio Dental PC

Organization Active NPI Pediatric Dentistry · Port Jefferson Station, NY

NPI 1609915883 · NPPES record last updated Jul 9, 2026

Key facts

NPI
1609915883
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
Legal business name
CONIGLIO DENTAL PC
Practice address
8 Medical Drive
Port Jefferson Station, NY 11776-1601
Phone
(631) 928-8585
Fax
(631) 928-8861
NPI assigned
Feb 5, 2007
Organization subpart
No

Authorized official

Name
Dr. Philip Michael Coniglio Jr., DDS NPI 1851432793
Title
Owner
Phone
(631) 928-8585

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 10

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

National Provider Directory

Tax ID family
Coniglio Dental PC (2 organizations share this tax ID)

Locations

8 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 928-8585

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP		 1223P0221X Yes
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP		 1223X0400X

Addresses

Primary practice location

8 Medical Drive
Port Jefferson Station, NY 11776-1601

Mailing address

8 Medical Drive
Port Jefferson Station, NY 11776-1601
Phone (631) 928-8585

Other identifiers

IdentifierTypeStateIssuer
01864713MedicaidNY

Other names

  • Suffolk Pediatric Dentistry PC Doing business as

Other providers in Port Jefferson Station, NY

All providers in Port Jefferson Station, NY · Pediatric Dentistry in New York

Sources for this page

Verify at the official NPI Registry.