Brentwood Smile Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRENTWOOD SMILE ORTHODONTICS PLLC

Practice address

1895 Brentwood Rd
Brentwood, NY 11717

Phone

(631) 388-7717

Fax

(631) 388-7797

NPI assigned

Feb 9, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Min Gyu Kwak, DDSNPI 1578273082

Title

Owner Orthodontist

Phone

(631) 332-6643

Specialties & licenses 1

Addresses

Other names 1

• Brentwood Smiles Orthodontics Doing business as

Locations

Practitioners 1

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

• Min Gyu Kwak, DDS, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brentwood, NY
  • NPI 1578273082
  NPD Authorized official

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1679424162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BARSTOW RD APT 5A",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212202",
            "telephone_number": "631-388-7717",
            "fax_number": "631-388-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-388-7717",
            "fax_number": "631-388-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD SMILE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "MIN GYU",
        "authorized_official_title_or_position": "OWNER ORTHODONTIST",
        "authorized_official_telephone_number": "631-332-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brentwood Medical Care, PC
• Brentwood U.F.S.D.
• Brentwood Ufsd
• Brentwood Vision Center Inc
• Stacey Lee Bridgeford
• Brighter Dental, Implant PC.

• Orthodontics and Dentofacial Orthopedics Dentistry in Brentwood, NY
• Providers in Brentwood, 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 Feb 9, 2026; 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.