Supersmiles Dental PLLC
Organization Active NPI Pediatric Dentistry · West Islip, NY
NPI 1932099520 · NPPES record last updated Jul 7, 2025
Key facts
- NPI
- 1932099520
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- SUPERSMILES DENTAL PLLC
- Practice address
- 456 Union Blvd
West Islip, NY 11795-3104 - Phone
- (631) 576-0055
- NPI assigned
- Jul 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Christine Branigan
- Title
- Credentialing Manager
- Phone
- (631) 451-7700
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Supersmiles Dental PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
456 Union Blvd
West Islip, NY 11795-3104
Mailing address
500 Portion Rd Ste 16
Ronkonkoma, NY 11779-4587
Phone (631) 451-7700
Other names
- Supersmiles Pediatric Dentistry III
Other providers in West Islip, NY
- Judith Marie Summers
- Kristie Summus
- Frank Lincoln Sun
- Jeffrey Yading Sun
- Michelle A Sunshine
- Supersmiles KDS Dental PC
- Carolann Sutherland
- Tyler Francis Sutton
- SVC of West Islip, LLC
- Eileen Swailes
All providers in West Islip, NY · Pediatric Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.